Galaxy Wellness Sport and Rehabilitation Center LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

ME98453 Issued in FL

Legal business name

GALAXY WELLNESS SPORT AND REHABILITATION CENTER LLC

Practice address

1951 NW 7TH St
Miami, FL 33125

Phone

(786) 360-5051

NPI assigned

Nov 6, 2017

Last updated

Nov 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Louis M Starace, MD

Title

President

Phone

(786) 360-5051

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1275046831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "786-360-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY WELLNESS SPORT AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "STARACE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-360-5051",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": "ME98453",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME98453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galaxy Emergency Physicians, LLC
• Galaxy Group Service
• Galaxy Orthopedic and Spine Institute
• Galaxy Pharmacy & Discount Inc
• Galaxy Wellness & Ortho-Spine Center LLC
• Greta Galban Gonzalez
• Yanet Galban Gonzalez
• Daniel Galban Jarque
• Laura Galban Sainz de Rozas
• Carlos Juan Galban, PA

• Sports Medicine (Orthopaedic Surgery) Physician in Miami, FL
• Providers in Miami, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.