Healthcare Provider Details

I. General information

NPI: 1144636614
Provider Name (Legal Business Name): GABRIELA CORSI VASQUEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2014
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6951 SW STATE ROAD 200
OCALA FL
34476-9210
US

IV. Provider business mailing address

6951 SW STATE ROAD 200
OCALA FL
34476-9210
US

V. Phone/Fax

Practice location:
  • Phone: 352-236-6806
  • Fax: 352-622-2033
Mailing address:
  • Phone: 352-236-6806
  • Fax: 352-622-2033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME175883
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: