Provider Demographics
NPI:1376538645
Name:MAYERS, GABRIELLE HOPE (MD)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:HOPE
Last Name:MAYERS
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 1:900 S PINE ISLAND RD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3920
Mailing Address - Country:US
Mailing Address - Phone:561-336-0191
Mailing Address - Fax:561-364-7785
Practice Address - Street 1:1447 MEDICAL PARK BLVD SUITE 402
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414
Practice Address - Country:US
Practice Address - Phone:561-790-2600
Practice Address - Fax:561-790-1535
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207572208000000X
FLME121088208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY359090101OtherHEALTH PLUS
NYP2463407OtherOXFORD HEALTH PLANS
NY207572OtherHIP
NY26N9182OtherNEIGHBORHOOD HEALTH
FL013609700Medicaid
NY3C6187OtherHEALTH NET
NY7162037OtherAETNA PPO
NY0100465-02OtherAMERICHOICE
NY02083030Medicaid
NY113563769OtherHORIZON HEALTH CARE NY
NY113563769OtherMULTIPLAN
NY207572-B15OtherHEALTH FIRST
NY648Z91OtherEMPIRE BCBS
NY1000020637OtherAFFINITY HEALTH
NY3455220OtherAETNA USHC HMO
NY1000020637OtherAFFINITY HEALTH
NY26N9182OtherNEIGHBORHOOD HEALTH