Provider Demographics
NPI:1851182364
Name:GIA CORAL GABLES LLC
Entity type:Organization
Organization Name:GIA CORAL GABLES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REED
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMPHERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-791-6788
Mailing Address - Street 1:5915 PONCE DE LEON BLVD STE 23
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2435
Mailing Address - Country:US
Mailing Address - Phone:786-791-6788
Mailing Address - Fax:
Practice Address - Street 1:5915 PONCE DE LEON BLVD STE 24
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2435
Practice Address - Country:US
Practice Address - Phone:786-791-6788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOBAL INSTITUTES ON ADDICTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty