Gyenyame Medical Services
Nurse Practitioner, Family in Tierra Verde, FL. Organization (NPI-2).
NPI number1003607672
StatusActive
Last updated in NPPESSep 18, 2025
Details
- NPI
- 1003607672
- Entity type
- Organization (NPI-2)
- Legal business name
- Gyenyame Medical Services
- Organization subpart
- No
- Enumeration date
- May 14, 2025
- Certification date
- Sep 18, 2025
- Last updated
- Sep 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
450 4th Avenue NTierra Verde, FL 33715
Phone 646-382-2616
Mailing address
450 4th Ave NTierra Verde, FL 33715-1729
Phone 646-382-2616
Authorized official
Akosua A Yeboah
Owner
6463822616
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