Individual
MARIA GAVIRIA-TOBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 SW FOUNTAINVIEW BLVD STE 105, PORT ST LUCIE, FL 34986-4527
(772) 336-2818
(772) 336-5313
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(305) 387-7211
(305) 382-2708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME73583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252557700
—
FL
Enumeration date
11/02/2006
Last updated
01/06/2022
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