Provider Demographics
NPI:1174896567
Name:GALAXY GROUP SERVICE
Entity type:Organization
Organization Name:GALAXY GROUP SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MOREJON CESPEDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-490-7602
Mailing Address - Street 1:8306 MILLS DR
Mailing Address - Street 2:SUITE 562
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4838
Mailing Address - Country:US
Mailing Address - Phone:305-490-7602
Mailing Address - Fax:
Practice Address - Street 1:8306 MILLS DR
Practice Address - Street 2:SUITE 562
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4838
Practice Address - Country:US
Practice Address - Phone:305-490-7602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty