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NPI Code Detail

MEDICARE: DR. GABRIELA LARANJEIRA HEISEL M.D.

MEDICARE:  DR. GABRIELA LARANJEIRA HEISEL  M.D.
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
1207R00000XInternal Medicine PhysicianME 108055FL

General Provider Information

NPI Number : 1154625994
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GABRIELA LARANJEIRA HEISEL M.D.
Provider Business Mailing Address
First Line : 89 NE 27TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33137-4409
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 89 NE 27TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33137-4409
Country : US
Telephone Number : 305-398-7676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2011
Last Update Date : 01/10/2011

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Directions to “ DR. GABRIELA LARANJEIRA HEISEL M.D.” Practice Location

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