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Organization

GAPS HEALTH FL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SONALI WILBORN (CHIEF CLINICAL OFFICER)
(248) 470-9509
Entity
Organization

Contact information

Practice address
611 S 13TH ST, FORT PIERCE, FL 34950-4054
(772) 464-5262
Mailing address
PO BOX 208003, DALLAS, TX 75320-8003

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
08/17/2021
Last updated
08/17/2021
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