Individual
HEATHER MARIE GABLE
Active
Individual
HEATHER MARIE GABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
PA9113595
FL
208600000X
Surgery Physician
PAT9113595
FL
363AM0700X
Medical Physician Assistant
Primary
PA9113595
FL
Other
Enumeration date
09/21/2020
Last updated
09/27/2022
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