Provider Demographics
NPI:1710200860
Name:OJEDA, GISELLE (DPM)
Entity Type:Individual
Prefix:DR
First Name:GISELLE
Middle Name:
Last Name:OJEDA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7975 NW 154TH ST
Mailing Address - Street 2:SUITE 390
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5863
Mailing Address - Country:US
Mailing Address - Phone:786-259-7408
Mailing Address - Fax:305-328-4022
Practice Address - Street 1:7975 NW 154TH ST
Practice Address - Street 2:390
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5863
Practice Address - Country:US
Practice Address - Phone:786-259-7408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3532213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist