Provider Demographics
NPI:1598358673
Name:CGS MEDICAL CONSULTANTS, LLC
Entity Type:Organization
Organization Name:CGS MEDICAL CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANT-SPENCE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:954-398-0118
Mailing Address - Street 1:9121 NW 17TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4338
Mailing Address - Country:US
Mailing Address - Phone:954-398-0118
Mailing Address - Fax:
Practice Address - Street 1:9121 NW 17TH ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-4338
Practice Address - Country:US
Practice Address - Phone:954-398-0118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty