# HEALTHSPAN PLLC

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

## Provider details

- **NPI number:** 1245086750
- **Authorized official:** GINETTE GOMEZ DO (CARDIOLOGIST/OWNER)
- **Authorized official phone:** (313) 583-4333

## Contact information

- **Practice address:** 18450 MACK AVE STE 101, GROSSE POINTE FARMS, MI 48236-3222
- **Practice address phone:** (313) 583-4333
- **Practice address fax:** (313) 432-8135
- **Mailing address:** 18450 MACK AVE STE 101, GROSSE POINTE FARMS, MI 48236-3222
- **Mailing address phone:** (313) 583-4333
- **Mailing address fax:** (313) 432-8135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2024
- **Last updated:** 04/25/2024