Provider Demographics
NPI:1346779204
Name:GARBADE, GABRIELLE JULIA (MD)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:JULIA
Last Name:GARBADE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4203 BELFORT RD STE 204
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1463
Mailing Address - Country:US
Mailing Address - Phone:904-296-5688
Mailing Address - Fax:904-296-5699
Practice Address - Street 1:4203 BELFORT RD STE 204
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1463
Practice Address - Country:US
Practice Address - Phone:904-296-5688
Practice Address - Fax:904-296-5688
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT213788207V00000X
FLME149854207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology