Provider Demographics
NPI:1124307780
Name:GERMEIL MEDICAL INC
Entity type:Organization
Organization Name:GERMEIL MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:GERMEIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-961-5743
Mailing Address - Street 1:4000 W ISLAND BLVD
Mailing Address - Street 2:APT 1603
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-5203
Mailing Address - Country:US
Mailing Address - Phone:305-705-2895
Mailing Address - Fax:239-206-1970
Practice Address - Street 1:951 NE 167TH ST
Practice Address - Street 2:SUITE 234
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3711
Practice Address - Country:US
Practice Address - Phone:305-705-2895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-12
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 100222207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty