MEDICARE: DR. KARINA GILBERT D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN18950	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609193119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARINA GILBERT D.D.S.

Provider Business Mailing Address
First Line	:	15521 LAKE MAGDALENE BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-1007
Country	:	US
Telephone Number	:	954-608-1204
Fax Number	:

Provider Business Practice Location Address
First Line	:	5706 BENJAMIN CENTER DR STE 103
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-5262
Country	:	US
Telephone Number	:	813-288-1999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2010
Last Update Date	:	09/02/2022

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