Provider Demographics
NPI:1275687485
Name:EPELBAUM, GISELA (RPH,CPH)
Entity Type:Individual
Prefix:MRS
First Name:GISELA
Middle Name:
Last Name:EPELBAUM
Suffix:
Gender:F
Credentials:RPH,CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8355 NW 53RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4666
Mailing Address - Country:US
Mailing Address - Phone:305-470-5036
Mailing Address - Fax:305-499-2023
Practice Address - Street 1:8355 NW 53RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-4666
Practice Address - Country:US
Practice Address - Phone:305-470-5036
Practice Address - Fax:305-499-2023
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS18388183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist