Galore Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GALORE MEDICAL LLC

Practice address

7522 Wiles Rd Ste B201
Coral Springs, FL 33067-2062

Phone

(954) 488-2013

Fax

(305) 402-0941

NPI assigned

May 12, 2021

Organization subpart

No

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

Authorized official

Name

Shenida Desir, NP

Title

Owner

Phone

(305) 418-0580

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1225612567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 WILES RD STE B201",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672062",
            "telephone_number": "954-488-2013",
            "fax_number": "305-402-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 WILES RD STE B201",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672062",
            "telephone_number": "954-488-2013",
            "fax_number": "305-402-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALORE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "DESIR",
        "authorized_official_first_name": "SHENIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-418-0580",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.