Faustin-Gabriel, Judith
Faustin-Gabriel, Judith is an individual health care provider with primary practice located at 1800 Pembrook Dr Ste 300 , Orlando FL 32810-6378. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Faustin-Gabriel, Judith can be contacted via phone (321) 200-4489.Contact Information
Primary practice address
1800 Pembrook Dr Ste 300
Orlando FL 32810-6378
Phone: (321) 200-4489
Fax: (407) 554-5860
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 9403240 | Florida |
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 9403240 | Florida |
Profile Details
NPI number | 1194137679 |
---|---|
LBN Legal business name | Faustin-Gabriel, Judith |
Credentials | DRPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2014 |
Last updated | Aug 2nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194137679 | NPPES |
Florida | Other | 1194137679 | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 1194137679 | BLUE CROSS BLUE SHIELD |
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