Garden Park Physician Services Corp in Gulfport - Family Medicine
Garden Park Physician Services Corp - NPI 1881882405
Garden Park Physician Services Corp is a Family Medicine in Gulfport, Mississippi. Garden Park Physician Services Corp practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Garden Park Physician Services Corp is 1881882405. The last update date is 2007-10-10.
Garden Park Physician Services Corp's current location address is 1924 30th Ave, Gulfport, Mississippi. You can contact this provider via phone number 2288322004 and fax number 2288324093. The mailing address for Garden Park Physician Services Corp is 1924 30th Ave, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Garden Park Physician Services Corp |
|---|---|
| Address | 1924 30th Ave, Gulfport, Mississippi |
| Phone Number | 2288322004 |
| Fax Number | 2288324093 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP |
|---|---|
| Authorized Official Name | Lagesse Robert |
| Telephone Number | 8666530021 |
NPI Number Detail
| NPI Number | 1881882405 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | 1924 30th Ave |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395014534 |
| Phone Number | 2288322004 |
| Fax Number | 2288324093 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J5628 | MS | RR MEDICARE | |
| 9016021 | 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) 1881882405, 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: 1924 30Th Ave, Gulfport, MS, 395014534.
What is the area of specialization for Garden Park Physician Services Corp, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Garden Park Physician Services Corp is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Garden Park Physician Services Corp receive its 1881882405 assignment from the Centers for Medicare & Medicaid Services?
The Garden Park Physician Services Corp was assigned its 1881882405 by the Centers for Medicare & Medicaid Services on 2007-10-09.
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.