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Individual

MRS. GISELE REGINA RISCILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3201 S DALE MABRY HWY STE 102, TAMPA, FL 33629-7800
(813) 831-6000
(813) 831-6002
Mailing address
3201 S DALE MABRY HWY STE 102, TAMPA, FL 33629-7800
(813) 831-6000
(813) 831-6002

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME52249
FL

Other

Enumeration date
09/25/2006
Last updated
07/08/2007
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