Healthcare Provider Details

I. General information

NPI: 1235119306
Provider Name (Legal Business Name): GLADYS DUPUY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 RED RD # N404
MIRAMAR FL
33025-6013
US

IV. Provider business mailing address

3600 RED RD N404
MIRAMAR FL
33025-6013
US

V. Phone/Fax

Practice location:
  • Phone: 954-368-1308
  • Fax: 954-589-0902
Mailing address:
  • Phone: 954-368-1308
  • Fax: 954-656-3224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberOS8445
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS8445
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: