Provider Demographics
NPI:1316331721
Name:YEE, GLORIA JACKIE (MD)
Entity type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:JACKIE
Last Name:YEE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9155 S DADELAND BLVD
Mailing Address - Street 2:SUITE 1708 PENTHOUSE ONE
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2737
Mailing Address - Country:US
Mailing Address - Phone:305-670-9995
Mailing Address - Fax:305-670-1990
Practice Address - Street 1:9155 S DADELAND BLVD
Practice Address - Street 2:SUITE 1708 PENTHOUSE ONE
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-2737
Practice Address - Country:US
Practice Address - Phone:305-670-9995
Practice Address - Fax:305-670-1990
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
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Provider Licenses
StateLicense IDTaxonomies
FLME86674208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery