Organization
GM PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSNEY LEYVA (PRESIDENT)
(754) 259-0277
Entity
Organization
Contact information
Practice address
4888 NW 183RD ST STE 201, MIAMI GARDENS, FL 33055-2942
(754) 259-0277
Mailing address
4888 NW 183RD ST STE 201, MIAMI GARDENS, FL 33055-2942
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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