Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DN20294 | FL |
Y | 213EG0000X | General Practice | DN20294 | FL |
NPI | 1003244179 |
---|---|
Provider Name | Gaby Slement |
First Address | Dunedin, FL 34698-1901 |
Second Address | Dunedin, FL 34698-1901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2013 |
Last Update Date | 20/02/2018 |