Garden Park Physician Services Corp in Gulfport - Specialist
Garden Park Physician Services Corp - NPI 1871523423
Garden Park Physician Services Corp is a Specialist in Gulfport, Mississippi. Garden Park Physician Services Corp practices all healthcare services and medical treatments related to Specialist. The NPI Number for Garden Park Physician Services Corp is 1871523423. The last update date is 2007-10-10.
Garden Park Physician Services Corp's current location address is 12330 Ashley Dr, Gulfport, Mississippi. You can contact this provider via phone number 2288637117 and fax number 2288689388. The mailing address for Garden Park Physician Services Corp is 12330 Ashley Dr, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Garden Park Physician Services Corp |
|---|---|
| Address | 12330 Ashley Dr, Gulfport, Mississippi |
| Phone Number | 2288637117 |
| Fax Number | 2288689388 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Lagesse Robert |
| Telephone Number | 5049887044 |
NPI Number Detail
| NPI Number | 1871523423 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | 12330 Ashley Dr |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395032737 |
| Phone Number | 2288637117 |
| Fax Number | 2288689388 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9016019 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Garden Park Physician Services Corp by the Centers for Medicare & Medicaid Services?
The Garden Park Physician Services Corp has been issued the NPI (National Provider Identifier) 1871523423, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Garden Park Physician Services Corp is physically located?
The Garden Park Physician Services Corp is physically situated at the following address: 12330 Ashley Dr, Gulfport, MS, 395032737.
What is the Garden Park Physician Services Corp's specialty and taxonomy code?
The Garden Park Physician Services Corp's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871523423 to Garden Park Physician Services Corp?
The Centers for Medicare & Medicaid Services assigned the 1871523423 to Garden Park Physician Services Corp on 2006-07-03.
As of what date was the information regarding Garden Park Physician Services Corp, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Garden Park Physician Services Corp, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-10.