NPIMap

Organization Active NPI

G & O Medical Service Corp.

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1154352722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC6683 Issued in FL
Legal business name
G & O MEDICAL SERVICE CORP.
Practice address
10766 SW 24TH St
Miami, FL 33165-2493
Phone
(305) 487-6006
Fax
(305) 487-6210
NPI assigned
Jul 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gicle Gonzalez
Title
President
Phone
(305) 878-6590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC6683 FL Primary

Addresses

Primary practice location

10766 SW 24TH St
Miami, FL 33165-2493

Mailing address

10766 S.W. 24 Street
Miami, FL 33165
Phone (305) 487-6006

National Provider Directory

National Provider Directory
Tax ID family
G O Medical Service Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154352722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10766 S.W. 24 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "305-487-6006",
            "fax_number": "305-487-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10766 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652493",
            "telephone_number": "305-487-6006",
            "fax_number": "305-487-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & O MEDICAL SERVICE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GICLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-878-6590"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC6683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.