Provider Demographics
NPI:1164562914
Name:COUNTY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:COUNTY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SANABRIA
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:954-987-1975
Mailing Address - Street 1:6363 TAFT ST STE 104
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-5959
Mailing Address - Country:US
Mailing Address - Phone:954-987-1975
Mailing Address - Fax:
Practice Address - Street 1:6363 TAFT ST STE 104
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-5959
Practice Address - Country:US
Practice Address - Phone:954-987-1975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Multi-Specialty