Provider Demographics
NPI:1194346064
Name:GIGI HEART LLC
Entity type:Organization
Organization Name:GIGI HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GUILAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-564-7959
Mailing Address - Street 1:8915 AVENUE CLUB DR UNIT 101
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637-5844
Mailing Address - Country:US
Mailing Address - Phone:786-564-7959
Mailing Address - Fax:
Practice Address - Street 1:8915 AVENUE CLUB DR UNIT 101
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33637-5844
Practice Address - Country:US
Practice Address - Phone:786-564-7959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-02
Last Update Date:2020-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health