Gm Professional Corp

NPI #1053148882 in Miami Gardens, Florida

Provider Information

NPI Number: 1053148882
Entity Type: Organization
Organization Name: Gm Professional Corp
Primary Specialty: Clinic/Center
Enumeration Date: Sep 16, 2024
Last Updated: Sep 16, 2024

Practice Location

Address: 4888 NW 183RD ST STE 201
City: Miami Gardens
State: Florida
ZIP Code: 33055-2942
Phone: (754) 259-0277

Authorized Official

Name: OSNEY LEYVA
Title: PRESIDENT
Phone: (754) 259-0277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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