Individual
GISELLE KHADINE HABET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 BARTRAM MARKET DR STE 120, ST JOHNS, FL 32259-4582
(904) 650-2193
(904) 201-6350
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(904) 650-2193
(904) 201-6350
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME119958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017180200
—
FL
Enumeration date
04/27/2011
Last updated
04/30/2021
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