GAIA GROVE WELLNESS
NPI 1699649681
Nurse Practitioner - Pediatrics in Miami, FL
Active since October 02, 2025
About Gaia Grove Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAIA GROVE WELLNESS (NPI 1699649681) is a healthcare organization registered as a pediatrics in Miami, Florida and active in the NPI registry since October 2025. The organization lists Anna Villasuso, Owner, as its authorized official.
NPPES Registry Identity
NPI1699649681
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameGAIA GROVE WELLNESS
Location Address8315 SW 24TH STMiami, FL 33155-1138
Mailing Address10521 Sw 88th St Ste E106Miami, FL 33176-1554
Phone(305) 934-8460
Organization SubpartNo
Authorized OfficialAnna VillasusoOwner · (305) 934-8460
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1699649681 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
8315 SW 24TH ST, Miami, FL 33155
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699649681, enumerated as an "organization" on October 02, 2025.
The provider is located at 8315 SW 24TH ST MIAMI, FL 33155 and the phone number is (305) 934-8460.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
