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Organization

GPSC MEDICAL CENTERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULES A CADET M.D. (PRESIDENT)
(305) 753-6600
Entity
Organization

Contact information

Practice address
123 N KROME AVE, HOMESTEAD, FL 33030-6008
(305) 753-6600
(786) 615-9581
Mailing address
123 N KROME AVE, HOMESTEAD, FL 33030-6008
(305) 753-6600
(786) 615-9581

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
ME 27293
FL
261QM1300X
Multi-Specialty Clinic/Center
ME 41852
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037315000
FL
05
067559801
FL
01
92970
MEDICARE IDENTIFICATION NUMBER
FL
01
96208
MEDICARE IDENTIFICATION NUMBER
FL
Enumeration date
12/29/2014
Last updated
12/29/2014
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