Individual
DR. GAYLE D FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(954) 399-4642
(877) 859-8768
Mailing address
14103 PIPEVINE CT, WINTER GARDEN, FL 34787-5472
(407) 925-6998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME83446
FL
207R00000X
Internal Medicine Physician
Primary
ME83446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2700954600
—
FL
Enumeration date
08/12/2006
Last updated
08/09/2024
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