| G & O Medical Service Corp. | |
|
10766 Sw 24th St Miami FL 33165-2493 | |
| (305) 487-6006 | |
| (305) 487-6210 |
| Full Name | G & O Medical Service Corp. |
|---|---|
| Speciality | Clinic/center |
| Location | 10766 Sw 24th St, Miami, Florida |
| Authorized Official Name and Position | Gicle Gonzalez (PRESIDENT) |
| Authorized Official Contact | 3058786590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G & O Medical Service Corp. 10766 S.w. 24 Street Miami FL 33165 Ph: (305) 487-6006 | G & O Medical Service Corp. 10766 Sw 24th St Miami FL 33165-2493 Ph: (305) 487-6006 |
| NPI Number | 1154352722 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154352722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC6683 (Florida) | Primary |
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