Organization
GT HEALTH & MENTAL SERVICES
Active
Organization
GT HEALTH & MENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE TASE APRN (MANAGER)
(786) 738-3682
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD STE 2G11, MIAMI, FL 33172-7012
(786) 402-6081
Mailing address
175 FONTAINEBLEAU BLVD STE 2G11, MIAMI, FL 33172-7012
(786) 402-6081
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/20/2025
Last updated
06/20/2026
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