Individual
GEORGIA GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6217 SW 21ST ST, MIRAMAR, FL 33023-2844
(786) 859-2306
Mailing address
6217 SW 21ST ST, MIRAMAR, FL 33023-2844
(786) 859-2306
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104386800
—
FL
Enumeration date
02/12/2020
Last updated
02/12/2020
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