Provider Demographics
NPI:1023417318
Name:GLOBAL BIOMEDICAL FOUNDATION INC
Entity type:Organization
Organization Name:GLOBAL BIOMEDICAL FOUNDATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MAYKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-501-2444
Mailing Address - Street 1:4815 NW 79 AVE SUITE #11
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166
Mailing Address - Country:US
Mailing Address - Phone:305-501-2444
Mailing Address - Fax:305-901-1444
Practice Address - Street 1:4815 NW 79TH AVE STE 11
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-5437
Practice Address - Country:US
Practice Address - Phone:305-501-2444
Practice Address - Fax:305-901-1444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3010-34-4816OtherFEI NUMBER FROM THE FDA
2014-01-101OtherCDC IMPORT