Individual
DR. JUDITH FAUSTIN-GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DRPH
Contact information
Practice address
1800 PEMBROOK DR STE 300, ORLANDO, FL 32810-6378
(321) 200-4489
(407) 554-5860
Mailing address
1800 PEMBROOK DR STE 300, ORLANDO, FL 32810-6378
(321) 200-4489
(407) 554-5860
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
9403240
FL
363LP2300X
Primary Care Nurse Practitioner
9403240
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194137679
BLUE CROSS BLUE SHIELD
FL
05
—
1194137679
—
FL
Enumeration date
06/02/2014
Last updated
08/02/2023
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