Individual
DR. WESLEY ALAN GABBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29296 US HWY 19N, SUITE 4, CLEARWATER, FL 33761
(727) 784-8444
(727) 784-8445
Mailing address
14134 NEPHRON LANE, HUDSON, FL 34667
(727) 863-5418
(727) 869-8626
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD25328
OR
207RN0300X
Nephrology Physician
MD25328
OR
207RN0300X
Nephrology Physician
Primary
NE105493
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001335100
—
FL
Enumeration date
08/13/2006
Last updated
03/02/2011
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