Provider Demographics
NPI:1801654108
Name:DR. G'S HEALTH AND WELLNESS, LLC
Entity type:Organization
Organization Name:DR. G'S HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGIETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:305-771-1302
Mailing Address - Street 1:18591 S DIXIE HWY # 1099
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6845
Mailing Address - Country:US
Mailing Address - Phone:813-358-7780
Mailing Address - Fax:
Practice Address - Street 1:1020 N KROME AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4411
Practice Address - Country:US
Practice Address - Phone:813-358-7780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care