Individual
GABRIEL ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-C
Contact information
Practice address
1301 NW 171ST ST, MIAMI GARDENS, FL 33169-5214
(786) 487-2612
Mailing address
1301 NW 171ST ST, MIAMI GARDENS, FL 33169-5214
(786) 487-2612
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11036391
FL
Other
Enumeration date
01/17/2025
Last updated
04/14/2025
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