Provider Demographics
NPI:1811423031
Name:M & G HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:M & G HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GILSON
Authorized Official - Middle Name:T
Authorized Official - Last Name:MORTIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-744-4722
Mailing Address - Street 1:1011 W OAK RIDGE RD STE D
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4765
Mailing Address - Country:US
Mailing Address - Phone:407-668-4500
Mailing Address - Fax:407-802-2126
Practice Address - Street 1:1011 W OAK RIDGE RD STE D
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4765
Practice Address - Country:US
Practice Address - Phone:407-668-4500
Practice Address - Fax:407-802-2126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-08
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health