Healthcare Provider Details

I. General information

NPI: 1144135567
Provider Name (Legal Business Name): GISSELLE MORROBEL
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7430 W COMMERCIAL BLVD
LAUDERHILL FL
33319-2130
US

IV. Provider business mailing address

9350 SUNSET STRIP
SUNRISE FL
33322-3756
US

V. Phone/Fax

Practice location:
  • Phone: 954-756-7400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA31111
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: