MEDICARE: MS. ISACHI GIL A.R.N.P.

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	363LA2200X	Adult Health Nurse Practitioner	ARNP 9228843	FL

General Provider Information

NPI Number	:	1275860280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ISACHI GIL A.R.N.P.

Provider Business Mailing Address
First Line	:	8850 FONTAINEBLEAU BLVD
Second Line	:	#103
City	:	MIAMI
State	:	FL
Zip	:	33172-4454
Country	:	US
Telephone Number	:	786-285-3077
Fax Number	:	305-227-9284

Provider Business Practice Location Address
First Line	:	8850 FONTAINEBLEAU BLVD
Second Line	:	#103
City	:	MIAMI
State	:	FL
Zip	:	33172-4454
Country	:	US
Telephone Number	:	786-285-3077
Fax Number	:	305-227-9284

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

Provider Enumeration Date	:	11/11/2009
Last Update Date	:	01/23/2010

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