Gabote Garcia, Fidel Simon

Gabote Garcia, Fidel Simon is an sole proprietor health care provider with primary practice located at 4610 Sw 112Th Ct , Miami FL 33165-5560. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Gabote Garcia, Fidel Simon can be contacted via phone (786) 870-2189.

Contact Information

Primary practice address
4610 Sw 112Th Ct Miami FL 33165-5560
Fax:
Website:

Health care specialties

Profile Details

NPI number 1538631387
LBN Legal business name Gabote Garcia, Fidel Simon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2018
Last updated May 17th, 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 1538631387 NPPES
Florida MEDICAID 020285300

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