MEDICARE: GABRIELLE KOSLOVSKY SCHPILBERG APRN

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	208000000X	Pediatrics Physician	APRN9210129	FL

General Provider Information

NPI Number	:	1962918730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE KOSLOVSKY SCHPILBERG APRN

Provider Business Mailing Address
First Line	:	2005 NE 185TH TER
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-4381
Country	:	US
Telephone Number	:	305-710-4784
Fax Number	:

Provider Business Practice Location Address
First Line	:	2005 NE 185TH TER
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-4381
Country	:	US
Telephone Number	:	305-710-4784
Fax Number	:

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

Provider Enumeration Date	:	12/15/2017
Last Update Date	:	03/24/2023

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