1942908686 NPI number — GC THERAPY LAKE CITY, INC

Table of content: (NPI 1942908686)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942908686 NPI number — GC THERAPY LAKE CITY, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GC THERAPY LAKE CITY, 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:
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:
1942908686
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/22/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1415 OHIO AVE N UNIT 177
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LIVE OAK
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32064-7960
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
386-397-4883
Provider Business Mailing Address Fax Number:
888-841-9040

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
328 SW ALACHUA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKE CITY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32025-7021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
386-438-5864
Provider Business Practice Location Address Fax Number:
888-841-9040
Provider Enumeration Date:
02/22/2023

Additional Information

Authorized Official

Authorized Official Last Name:
STEPHENS
Authorized Official First Name:
CYNTHIA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/MEMBER
Authorized Official Telephone Number:
386-397-4883

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 119059300 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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