NPIMap

Organization Active NPI

Gimina Health & Services Center, Inc

  • Family Medicine Physician
  • Lake Park, FL
National Provider Identifier
1619510054
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GIMINA HEALTH & SERVICES CENTER, INC
Doing business as
Gimina Health & Services Center, Inc
Practice address
1511 Prosperity Farms Rd Ste 100
Lake Park, FL 33403-2046
Phone
(561) 847-4794
Fax
(561) 847-4574
NPI assigned
Oct 17, 2019
Last updated
Oct 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Gina A Victome, REGISTER NURSENPI 1053954495
Title
RN
Phone
(561) 847-4794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1511 Prosperity Farms Rd Ste 100
Lake Park, FL 33403-2046

Mailing address

1511 Prosperity Farms Rd Ste 100
Lake Park, FL 33403-2046
Phone (561) 847-4794

Other names 1

  • Gimina Health & Services Center, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

1511 Prosperity Farms Rd
Ste 100
Lake Park, FL 33403
Phone (561) 847-4794

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1619510054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 PROSPERITY FARMS RD STE 100",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032046",
            "telephone_number": "561-847-4794",
            "fax_number": "561-847-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 PROSPERITY FARMS RD STE 100",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032046",
            "telephone_number": "561-847-4794",
            "fax_number": "561-847-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIMINA HEALTH & SERVICES CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "VICTOME",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "561-847-4794",
        "authorized_official_credential": "REGISTER NURSE"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gimina Health & Services Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.