Gda Blalance Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GDA BLALANCE MEDICAL LLC

Practice address

4349 18TH PL SW
Naples, FL 34116-5917

Phone

(239) 692-2630

NPI assigned

Nov 8, 2023

Organization subpart

No

Name

Leonardo Mastache, APRNNPI 1104699297

Title

President

Phone

(239) 692-2630

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonardo Mastache, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Naples, FL
  • NPI 1104699297

  Family

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2023.

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1720852007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 18TH PL SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341165917",
            "telephone_number": "239-692-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 18TH PL SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341165917",
            "telephone_number": "239-692-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDA BLALANCE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "MASTACHE",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-692-2630",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Cathleen Gay, DDS,MDS
• Yanieke Jihan Gayle
• Stacey L Gazan, AGACNP-BC
• Alicia Gazda
• Shai Del Carmen Gazga
• Douglas Mair Gebbie, MD
• Jessica Michelle Gee
• Cameron Gehrke, OTR/L
• Sherry Kathleen Geiger, CRNA
• Bruce A Gelinas, MD

• All providers in Naples, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.