Provider Demographics
NPI:1447584057
Name:GMC GROUP OF MIAMI,LLC
Entity Type:Organization
Organization Name:GMC GROUP OF MIAMI,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:LANDRON
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-858-6808
Mailing Address - Street 1:1394 CORAL WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2960
Mailing Address - Country:US
Mailing Address - Phone:305-858-6808
Mailing Address - Fax:305-858-6906
Practice Address - Street 1:1394 CORAL WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2960
Practice Address - Country:US
Practice Address - Phone:305-858-6808
Practice Address - Fax:305-858-6906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty