Gss Provita Services LLC
NPI #1033092259 in Gaithersburg, Maryland
Provider Information
- NPI Number
- 1033092259
- Entity Type
- Organization
- Organization Name
- Gss Provita Services LLC
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Jul 28, 2025
- Last Updated
- Oct 29, 2025
Practice Location
- Address
- 9711 WASHINGTONIAN BLVD STE 550
- City
- Gaithersburg
- State
- Maryland
- ZIP Code
- 20878-5789
- Phone
- (240) 949-4034
Authorized Official
- Name
- GUILLANA SIMON, CRNP
- Title
- OWNER/FOUNDER
- Phone
- (240) 222-2667
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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