Gaia Clinical Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW7818 Issued in FL

Legal business name

GAIA CLINICAL SERVICES, INC.

Practice address

511 Lemon St
Auburndale, FL 33823-4232

Phone

(863) 288-0065

NPI assigned

Jan 17, 2011

Organization subpart

No

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

Authorized official

Name

Gladis Rodriguez

Title

President

Phone

(863) 288-0065

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1992000335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 LEMON ST",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338234232",
            "telephone_number": "863-288-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 LEMON ST",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338234232",
            "telephone_number": "863-288-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIA CLINICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GLADIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-288-0065"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW7818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason W Floyd
• Frank M Rosa Nursing Service
• Katherine Freeman
• Gearldine Gabbard
• Scott Gaffney, LCSW
• Natasha Garcia Martinez
• Elaine Nicole Garcia, LMHC
• Alicia Marie Garner
• Ronald Gomez
• Annia Maritza Gonzalez Arencibia, MD

• Community/Behavioral Health Agency in Auburndale, FL
• Providers in Auburndale, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.