| Organization Name: | GAVE CORPORATION |
| NPI Number: | 1841235553 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARICRUZ GARCIA (OFFICE MANAGER) |
| Mailing Address: | 3127 W Hallandale Beach Blvd #115 Hallandale |
| State: | FL US |
| Postal Code: | 330095150 |
| Phone Number: | 9549643308 |
| Fax Number: | 9549641902 |
| NPI Enumeration Date: | 06/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | HCC6780 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |