Provider Demographics
NPI:1689671299
Name:KAFIE, GABY (DPM)
Entity Type:Individual
Prefix:DR
First Name:GABY
Middle Name:
Last Name:KAFIE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8334 SW 193RD ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-8085
Mailing Address - Country:US
Mailing Address - Phone:305-255-6368
Mailing Address - Fax:
Practice Address - Street 1:8334 SW 193RD ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-8085
Practice Address - Country:US
Practice Address - Phone:305-255-6368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-29
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2919213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH829OtherEMPIRE BLUE CROSS BLUE
FL65824OtherBLUE CROSS BLUE SHIELD
FLPH829OtherEMPIRE BLUE CROSS BLUE
FL65824OtherBLUE CROSS BLUE SHIELD