Organization
GCN THERAPIES/GENYLIMA/SLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OCTAVIO LIMA (OWNER/DIRECTOR)
(561) 966-3380
Entity
Organization
Contact information
Practice address
5055 S CONGRESS AVE STE 304, LAKE WORTH, FL 33461-4722
(561) 966-3380
(561) 966-7599
Mailing address
5055 S CONGRESS AVE STE 304, LAKE WORTH, FL 33461-4722
(561) 966-3380
(561) 966-7599
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750439949
—
FL
Enumeration date
03/17/2010
Last updated
03/17/2010
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