| G&a Professional Health Services Pllc | |
|
3682 N Wickham Rd Ste B1-306 Melbourne FL 32935-2325 | |
| (305) 934-8592 | |
| Not Available |
| Full Name | G&a Professional Health Services Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 3682 N Wickham Rd Ste B1-306, Melbourne, Florida |
| Authorized Official Name and Position | Gabriel E Cueto (OWNER) |
| Authorized Official Contact | 3059348592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G&a Professional Health Services Pllc 3682 N Wickham Rd Ste B1-300 Melbourne FL 32935-2325 Ph: (305) 934-8592 | G&a Professional Health Services Pllc 3682 N Wickham Rd Ste B1-306 Melbourne FL 32935-2325 Ph: (305) 934-8592 |
| NPI Number | 1417422288 |
|---|---|
| Provider Enumeration Date | 10/09/2018 |
| Last Update Date | 03/29/2023 |
| Medicare PECOS PAC ID | 5092052712 |
|---|---|
| Medicare Enrollment ID | O20190201002659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417422288 | NPI | - | NPPES |
| KR887 | Other | FL | MEDICARE PTAN |
| DY8543 | Other | FL | RRMEDICARE PTAN |
| 101946200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Gabriel Elias Cueto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356578629 PECOS PAC ID: 7416103916 Enrollment ID: I20120816000590 |
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