Individual
DR. GISELE VICTOR MARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9299 SW 152TH ST, #207, MIAMI, FL 33157
(305) 253-6654
(305) 235-3501
Mailing address
9299W 152TH ST #207, MIAMI, FL 33157
(305) 253-6654
(305) 235-3501
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0070216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250371900
—
FL
Enumeration date
09/20/2006
Last updated
12/20/2012
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