Individual
GABRIELA BASTIDAS MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-1680
Mailing address
7800 POINT MEADOWS DR APT 422, JACKSONVILLE, FL 32256-4613
(904) 684-0117
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MCF1872
FL
Other
Enumeration date
12/06/2022
Last updated
01/05/2023
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