Basic Information
| Provider Information | |||||||||
| NPI: | 1780867317 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GLOBAL HEALTH CARE FOR ADULTS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8751 COMMODITY CIR STE 15 | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328199027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4075174827 | ||||||||
| FaxNumber: | 4075743260 | ||||||||
| Practice Location | |||||||||
| Address1: | 8751 COMMODITY CIR STE 15 | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328199027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4075174827 | ||||||||
| FaxNumber: | 4075743260 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2007 | ||||||||
| LastUpdateDate: | 05/01/2019 | ||||||||
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| AuthorizedOfficialLastName: | ROJAS | ||||||||
| AuthorizedOfficialFirstName: | GERARDO | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4075174827 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | N | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | 261QP2300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
ID Information
| ID | Type | State | Issuer | Description | 273570900 | 05 | FL | MEDICAID |