# SWEETWATER MEDICAL & SPA SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GISMER MEDICAL SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558750315
- **Legal business name:** GISMER MEDICAL SERVICES
- **Authorized official:** MERCY PEREZ (PRESIDENT)
- **Authorized official phone:** (305) 480-2045

## Contact information

- **Practice address:** 35 SW 114TH AVE APT 105, MIAMI, FL 33174-1005
- **Practice address phone:** (305) 480-2045
- **Mailing address:** 35 SW 114TH AVE APT 105, MIAMI, FL 33174-1005
- **Mailing address phone:** (305) 480-2045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2015
- **Last updated:** 01/16/2015