Organization · Type 2 NPI
Gaia Grove Wellness
Pediatric Nurse Practitioner · Miami, FL
NPI number
1699649681
Active
Practice location
8315 SW 24th St
Miami, FL 33155-1138
Mailing address
10521 SW 88th St Ste E106
Miami, FL 33176-1554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
| Women's Health Nurse Practitioner | 363LW0102X | None listed |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1699649681
Gaia Grove Wellness's National Provider Identifier is 1699649681, issued on Oct 2, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Miami, FL. The record was last updated on Oct 2, 2025.