MEDICARE: GAIL D WAINGER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	0019236	FL

General Provider Information

NPI Number	:	1033102090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL D WAINGER MD

Provider Business Mailing Address
First Line	:	7910 LOS PINOS CIR
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33143-6472
Country	:	US
Telephone Number	:	305-279-6577
Fax Number	:	305-668-9729

Provider Business Practice Location Address
First Line	:	19501 NE 10TH AVE
Second Line	:	# 305
City	:	MIAMI
State	:	FL
Zip	:	33179-3576
Country	:	US
Telephone Number	:	305-279-6577
Fax Number	:	305-668-9729

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	07/08/2007

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