Healthcare Provider Details

I. General information

NPI: 1245160233
Provider Name (Legal Business Name): GABRIELA A. BOZZUTI, D.D.S., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2853 EXECUTIVE PARK DR STE 203
WESTON FL
33331-3676
US

IV. Provider business mailing address

1409 BANYAN WAY
WESTON FL
33327-1622
US

V. Phone/Fax

Practice location:
  • Phone: 954-706-6440
  • Fax:
Mailing address:
  • Phone: 954-706-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: GABRIELA ALEJANDRA BOZZUTI
Title or Position: PRESIDENT
Credential: DDS
Phone: 954-706-6440