Individual
KAYLA MATHIS-GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1000 COCONUT CREEK BLVD, COCONUT CREEK, FL 33066-1615
(954) 201-2453
Mailing address
1000 COCONUT CREEK BLVD, COCONUT CREEK, FL 33066-1615
(954) 201-2453
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP-3418252
FL
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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