Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 15467 | FL |
NPI | 1013456185 |
---|---|
Provider Name | Dr. Gabriella Francesca Vasile |
First Address | Hialeah, FL 33012-3222 |
Second Address | Hialeah, FL 33012-3222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2017 |
Last Update Date | 23/12/2019 |