Individual
GABRIELLE G PERMANENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-2720
Mailing address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
006533
GA
367H00000X
Anesthesiologist Assistant
Primary
AA371
FL
Other
Enumeration date
10/11/2012
Last updated
11/30/2016
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