Healthcare Provider Details

I. General information

NPI: 1679612055
Provider Name (Legal Business Name): GABRIELLA GERSTLE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10151 ENTERPRISE CENTER BLVD SUITE #104
BOYNTON BEACH FL
33437-3759
US

IV. Provider business mailing address

10151 ENTERPRISE CTR STE 104
BOYNTON BEACH FL
33437-3760
US

V. Phone/Fax

Practice location:
  • Phone: 561-572-3220
  • Fax: 561-572-3221
Mailing address:
  • Phone: 561-572-3220
  • Fax: 561-572-3221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberME0065866
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME0065866
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: