Organization
GLOBAL HEALTH PROVIDER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCA NELIDA GONZALEZ MD (MEDICAL DIRECTOR)
(786) 703-4918
Entity
Organization
Contact information
Practice address
6001 NW 153RD ST STE 102, MIAMI LAKES, FL 33014-2447
(786) 703-4918
(786) 703-4920
Mailing address
6001 NW 153RD ST STE 102, MIAMI LAKES, FL 33014-2447
(786) 703-4918
(786) 703-4920
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME106369
FL
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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