Provider Demographics
NPI:1538457304
Name:DEBS, GISELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:GISELLE
Middle Name:
Last Name:DEBS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GISELLE
Other - Middle Name:
Other - Last Name:DEBS PEREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:18522 NW 23RD ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5322
Mailing Address - Country:US
Mailing Address - Phone:954-644-2677
Mailing Address - Fax:
Practice Address - Street 1:18522 NW 23RD ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-5322
Practice Address - Country:US
Practice Address - Phone:954-644-2677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-14
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL109847207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine