Provider Demographics
NPI:1487092169
Name:GABY, CHRISTINA (PA)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:
Last Name:GABY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 NE 111TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7156
Mailing Address - Country:US
Mailing Address - Phone:786-376-7194
Mailing Address - Fax:
Practice Address - Street 1:1160 KANE CONCOURSE STE 400
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2059
Practice Address - Country:US
Practice Address - Phone:888-267-6362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9107129363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant