Provider Demographics
NPI:1477665974
Name:GROUP ONE PROFESSIONAL SERVICES
Entity Type:Organization
Organization Name:GROUP ONE PROFESSIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-262-5519
Mailing Address - Street 1:7400 NW 7TH ST
Mailing Address - Street 2:105
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2942
Mailing Address - Country:US
Mailing Address - Phone:305-262-5519
Mailing Address - Fax:305-262-5587
Practice Address - Street 1:7400 NW 7TH ST
Practice Address - Street 2:105
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2942
Practice Address - Country:US
Practice Address - Phone:305-262-5519
Practice Address - Fax:305-262-5587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies