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General NPI Number Information
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NPI Number | 1033102090
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Entity Type | Individual
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Provider Name | GAIL D WAINGER MD
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Gender | Female
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19501 NE 10TH AVE # 305
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City | MIAMI
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State | FL
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Zip | 33179-3576
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Country | US
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Telephone | 305-279-6577
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Fax | 305-668-9729
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Provider Business Mailing Address
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Address Line | 7910 LOS PINOS CIR
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City | CORAL GABLES
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State | FL
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Zip | 33143-6472
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Country | US
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Telephone | 305-279-6577
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Fax | 305-668-9729
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0019236
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License Number State | FL
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