Rodriguez Forn, Gricel

Rodriguez Forn, Gricel is an individual health care provider with primary practice located at 777 E 25Th St Suite #102, Hialeah FL 33013-3825. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Psychiatric/Mental Health, Adult, Nursing Service Providers / Case Management, Nursing Service Providers / Home Health, Behavioral Health & Social Service Providers / Counselor. Nursing Service Providers / Case Management is her primary health care specialty. Rodriguez Forn, Gricel can be contacted via phone (305) 984-8422.

Contact Information

Primary practice address
777 E 25Th St Suite #102 Hialeah FL 33013-3825
Phone: (305) 984-8422
Fax: (305) 857-0070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN9261633 Florida
Nursing Service Providers / Case Management 163WC0400X RN9261633 Florida
Nursing Service Providers / Home Health 163WH0200X RN9261633 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1467496232
LBN Legal business name Rodriguez Forn, Gricel
Credentials FMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 10th, 2010 - about 14 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 1467496232 NPPES
Florida MEDICAID 758967100

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