Individual
GABRIELLE MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1854 OAK GROVE BLVD, LUTZ, FL 33559-8605
(813) 948-6133
(813) 948-1258
Mailing address
4033 TAMPA RD STE 101, OLDSMAR, FL 34677-3224
(813) 854-2003
(813) 436-5378
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
209.016283
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11001110
FL
Other
Enumeration date
08/21/2017
Last updated
06/26/2020
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