Cromartie, Gwenvanette

Cromartie, Gwenvanette is an sole proprietor health care provider with primary practice located at 3730 Nw 195Th St , Miami Gardens FL 33055-1938. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Cromartie, Gwenvanette can be contacted via phone (305) 621-6324.

Contact Information

Primary practice address
3730 Nw 195Th St Miami Gardens FL 33055-1938
Phone: (305) 621-6324
Fax: (305) 474-0969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 11-88-GH Florida
Agencies / In Home Supportive Care 253Z00000X 11-431-GH Florida
Agencies / In Home Supportive Care 253Z00000X 5113-5-GA Florida
Agencies / In Home Supportive Care 253Z00000X 11-88-GH Florida

Profile Details

NPI number 1265184956
LBN Legal business name Cromartie, Gwenvanette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2022
Last updated Jan 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265184956 NPPES
Florida MEDICAID 681582196

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