1861625188 NPI number — GLOBAL PROCESSING AND RESOURCE CENTER, INC.

Table of content: (NPI 1861625188)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861625188 NPI number — GLOBAL PROCESSING AND RESOURCE CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GLOBAL PROCESSING AND RESOURCE CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861625188
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/03/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 630563
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33163-0563
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-949-1552
Provider Business Mailing Address Fax Number:
305-945-5352

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16112 NW 13TH AVE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33169-5748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-949-1552
Provider Business Practice Location Address Fax Number:
305-945-5352
Provider Enumeration Date:
09/03/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
AMANI SOLOMON
Authorized Official First Name:
SYMONE
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINITRATOR
Authorized Official Telephone Number:
305-949-1552

Provider Taxonomy Codes

  • Taxonomy code: 302F00000X , with the licence number:  P09000022827 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)