Glad Health & Fitness

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

HS10825 Issued in FL

Legal business name

GLAD HEALTH & FITNESS

Practice address

4541 N Pine Island Rd
Sunrise, FL 33351-5376

Phone

(954) 245-7911

NPI assigned

Sep 22, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Gladimir Simeon

Title

President

Phone

(954) 245-7911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1316349368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 NW 26TH PL",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222917",
            "telephone_number": "954-245-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N PINE ISLAND RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333515376",
            "telephone_number": "954-245-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAD HEALTH & FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "SIMEON",
        "authorized_official_first_name": "GLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-245-7911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "HS10825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diavonni Gillham, PHARMD
• Caryn A. Ginsberg, CRNA
• Kathleen Ginsberg
• Sally Jane Giordano, DC
• Mihai Gitlan, OD
• Global Medical Consultants, LLC
• Global Wellness LLC
• Philip H. Glogover, MD
• Gloria Dunkin LLC
• Jondee Docena Go, PT

• Athletic Trainer in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.