Individual
GABRIELLE G GAGLIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
2835 W DE LEON ST STE 101, TAMPA, FL 33609-4130
(813) 254-6592
(813) 254-3634
Mailing address
2835 W DE LEON ST STE 101, TAMPA, FL 33609-4130
(813) 254-6592
(813) 254-3634
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO3275
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65482
BLUE CROSS BLUE SHIELD
FL
01
—
PO3275
FLORIDA STATE MEDICAL LIC
FL
Enumeration date
04/13/2007
Last updated
07/11/2011
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