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NPI Code Detail

MEDICARE: MIA GABRIELLE GAGE

MEDICARE: MIA GABRIELLE GAGE
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
1207LP3000XPediatric Anesthesiology Physician11016960FL
2208VP0014XInterventional Pain Medicine PhysicianAPRN11016960FL
3207L00000XAnesthesiology PhysicianAPRN11016960FL
4207LP2900XPain Medicine (Anesthesiology) PhysicianAPRN11016960FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801545819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIA GABRIELLE GAGE
Provider Business Mailing Address
First Line : 3100 SW 62ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-3009
Country : US
Telephone Number : 305-666-6511
Fax Number :
Provider Business Practice Location Address
First Line : 3100 SW 62ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-3009
Country : US
Telephone Number : 305-666-6511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2022
Last Update Date : 05/08/2026

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:
701 NW 27TH AVE
MIAMI, FL
33125-3012
Practice Phone: 786-744-1900
Practice Fax: 305-760-4141
1770580896 — CARLA CECILIA BARREAU M.D.
Practice Location Address:
3100 SW 62ND AVE
MIAMI, FL
33155-3009
Practice Phone: 305-666-6511
Practice Fax:
1104824077 — DR. RENE LUIS LOPEZ-GUERRERO M.D.
Practice Location Address:
3100 SW 62ND AVE
MIAMI, FL
33155-3009
Practice Phone: 305-643-0133
Practice Fax: 305-643-1728
1225021694 — DR. ISIDRO R MARTINEZ MD
Practice Location Address:
3100 SW 62ND AVE
MIAMI, FL
33155-3009
Practice Phone: 305-666-6511
Practice Fax:
1649264250 — DR. MYRIAM GERMAIN MD
Practice Location Address:
3100 SW 62ND AVE
MIAMI, FL
33155-3009
Practice Phone: 786-624-2023
Practice Fax: 305-669-6406
1598750341 — DR. SANDRA M GONZALEZ MD
Practice Location Address:
3100 SW 62ND AVE
MIAMI, FL
33155-3009
Practice Phone: 305-666-6511
Practice Fax:

Directions to “ MIA GABRIELLE GAGE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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