Individual
GAIELLE A MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6730 MIRAMAR PKWY, MIRAMAR, FL 33023-4838
(954) 276-6601
(954) 985-3917
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100874
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007375300
—
FL
Enumeration date
06/08/2009
Last updated
03/22/2021
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