Individual
GILDA M DE LA CALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1435 W 49TH PL, SUITE 400B, HIALEAH, FL 33012-3197
(305) 823-5730
(305) 823-5732
Mailing address
10775 SW 56TH ST, MIAMI, FL 33165-7043
(786) 360-4219
(786) 360-4217
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME90679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270053100
—
FL
01
—
ME90679
STATE MEDICAL LICENSE
FL
Enumeration date
09/21/2006
Last updated
03/03/2023
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