# GSS PROVITA SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033092259
- **Authorized official:** GUILLANA SIMON CRNP (OWNER/FOUNDER)
- **Authorized official phone:** (240) 222-2667

## Contact information

- **Practice address:** 9711 WASHINGTONIAN BLVD STE 550, GAITHERSBURG, MD 20878-5789
- **Practice address phone:** (240) 949-4034
- **Mailing address:** 150 MONROE ST APT 101, ROCKVILLE, MD 20850-2518
- **Mailing address phone:** (240) 222-2667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2025
- **Last updated:** 10/29/2025