| Gandell World Enterprises Inc | |
|
4406 Melton Ave Tampa FL 33614-7218 | |
| (407) 873-0759 | |
| (813) 289-6906 |
| Full Name | Gandell World Enterprises Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4406 Melton Ave, Tampa, Florida |
| Authorized Official Name and Position | Maria D Gandell (PRESIDENT) |
| Authorized Official Contact | 8132823618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gandell World Enterprises Inc Po Box 271384 Tampa FL 33688-1384 Ph: (813) 282-3618 | Gandell World Enterprises Inc 4406 Melton Ave Tampa FL 33614-7218 Ph: (407) 873-0759 |
| NPI Number | 1619159803 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 10/09/2008 |
| Medicare PECOS PAC ID | 1355308354 |
|---|---|
| Medicare Enrollment ID | O20041210000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619159803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | SW3298 (Florida) | Primary |
| Provider Name | Maria D Gandell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144488313 PECOS PAC ID: 2668439589 Enrollment ID: I20101208000552 |
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