Healthcare Provider Details

I. General information

NPI: 1649565870
Provider Name (Legal Business Name): JENNIFER GEBBIA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2011
Last Update Date: 04/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 NW 10TH AVE
MIAMI FL
33136-1013
US

IV. Provider business mailing address

1580 NW 10TH AVE
MIAMI FL
33136-1013
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-2700
  • Fax:
Mailing address:
  • Phone: 305-243-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP9390795
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: