Doctor Name: | DR. GRACIELA BELLANEY HOBERT |
NPI Number: | 1326471202 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 18558 |
Business Practice Address: | 4269 Nw 88th Ave Sunrise, FL - 333516044 |
Business Phone Number: | 9545780200 |
Business Fax Number: | 9545780050 |
Mailing Address: | 4269 Nw 88th Ave, SUNRISE |
State: | FL |
Postal Code: | 333516044 |
Phone Number: | 9545780200 |
Fax Number: | 9545780050 |
NPI Enumeration Date: | 08/15/2013 |
NPI Last Update Date: | 04/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18558 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |