Provider Demographics
NPI:1871772681
Name:GYN NETWORK, LLC
Entity type:Organization
Organization Name:GYN NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERAMY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:STUDNISKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-233-7832
Mailing Address - Street 1:10006 CROSS CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2595
Mailing Address - Country:US
Mailing Address - Phone:813-864-4832
Mailing Address - Fax:813-436-9294
Practice Address - Street 1:10006 CROSS CREEK BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2595
Practice Address - Country:US
Practice Address - Phone:813-957-1191
Practice Address - Fax:813-994-0535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical