Individual
GABRIELLE M. BOODOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 BEE RIDGE RD STE 120, SARASOTA, FL 34239-7243
(941) 924-9900
Mailing address
3400 BEE RIDGE RD STE 120, SARASOTA, FL 34239-7243
(941) 924-9900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME134743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001396800
—
FL
Enumeration date
06/25/2013
Last updated
09/11/2018
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