Individual
GABRIELLE LAFAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10000 SW INNOVATION WAY, PORT ST LUCIE, FL 34987-2111
(772) 345-8100
Mailing address
2310 DOGWOOD CT, PEMBROKE PINES, FL 33026-1631
(937) 701-5910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
169303
FL
Other
Enumeration date
03/31/2021
Last updated
07/01/2024
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