Organization
GARDEN GENERL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA GONZALEZ-LOPEZ LMT (PRESIDENT)
(305) 541-1713
Entity
Organization
Contact information
Practice address
2140 W FLAGLER ST STE 208, MIAMI, FL 33135-1642
(305) 541-1713
Mailing address
2140 W FLAGLER ST STE 208, MIAMI, FL 33135-1642
(305) 541-1713
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
131510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA67461
FLORIDA DEPARTMENT HEALTH
FL
Enumeration date
10/01/2013
Last updated
10/01/2013
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