Provider Demographics
NPI:1851064646
Name:GMAS HEALTHCARE LLC
Entity Type:Organization
Organization Name:GMAS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MERLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALMON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:407-415-8874
Mailing Address - Street 1:13830 MORNING FROST DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7479
Mailing Address - Country:US
Mailing Address - Phone:407-413-3557
Mailing Address - Fax:
Practice Address - Street 1:16877 E COLONIAL DR STE 332
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32820-1910
Practice Address - Country:US
Practice Address - Phone:407-415-8874
Practice Address - Fax:949-437-2594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty