Provider Demographics
NPI:1548241508
Name:RODEN, GABRIELE F (MD)
Entity Type:Individual
Prefix:DR
First Name:GABRIELE
Middle Name:F
Last Name:RODEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GBARIELE
Other - Middle Name:F
Other - Last Name:TROLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7103 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-3701
Mailing Address - Country:US
Mailing Address - Phone:561-515-1500
Mailing Address - Fax:
Practice Address - Street 1:7103 FAIRWAY DR
Practice Address - Street 2:BASCOM PALMER EYE INSTITUTE
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3701
Practice Address - Country:US
Practice Address - Phone:561-515-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA38648207L00000X
FLME88576207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2037351Medicaid
MA2037351Medicaid
MAE46041Medicare ID - Type Unspecified