Gayle, Georgia

Gayle, Georgia is an individual health care provider with primary practice located at 6217 Sw 21St St , Miramar FL 33023-2844. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Gayle, Georgia can be contacted via phone (786) 859-2306.

Contact Information

Primary practice address
6217 Sw 21St St Miramar FL 33023-2844
Phone: (786) 859-2306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1326671801
LBN Legal business name Gayle, Georgia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2020
Last updated Feb 12th, 2020 - about 4 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 1326671801 NPPES
Florida MEDICAID 104386800

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