Organization
MIA GROUP
Active
Parent organization
GIA GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIA GROUP
Authorized official
TAYLOR JONES PHD (DIRECTOR)
(425) 606-5304
Entity
Organization
Contact information
Practice address
822 A1A N, PONTE VEDRA, FL 32082-3260
(425) 606-5304
Mailing address
2885 SANFORD AVE SW # 23719, GRANDVILLE, MI 49418-1342
(425) 606-5304
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
275498
FL
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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