Individual
DR. GABRIEL ANTONIO WIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 E 25TH ST, SUITE 308, HIALEAH, FL 33013-3825
(786) 534-7751
(844) 361-9351
Mailing address
777 E 25TH ST STE 302, HIALEAH, FL 33013-3849
(786) 534-7751
(844) 361-9351
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME122876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME122876
MEDICAL LICENSE
FL
Enumeration date
04/08/2008
Last updated
01/22/2024
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