GAIA GROVE WELLNESS NPI 1699649681

NPI Information

  • NPI: 1699649681
  • Provider Name: GAIA GROVE WELLNESS
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Address: 8315 SW 24TH ST
    MIAMI, FL
    ZIP 33155
  • Phone: (305) 934-8460

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NPI Details

GAIA GROVE WELLNESS is a pediatrics nurse practitioner in Miami, FL. GAIA GROVE WELLNESS NPI is 1699649681. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8315 SW 24TH ST
MIAMI, FL
ZIP 33155-138
Phone: (305) 934-8460

The provider's authorized official is Anna Villasuso .
The authorized official title is Owner and has the following contact phone number (305) 934-8460.

The enumeration date for this NPI number is 10/2/2025 and was last updated on 10/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's HealthNo
2363LP0200XNurse PractitionerPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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