Provider Demographics
NPI:1417527318
Name:DE FRANCO RAINERI, GABRIELA (MD)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:DE FRANCO RAINERI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16106 MARSH RD STE 102
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-9182
Mailing Address - Country:US
Mailing Address - Phone:407-635-3090
Mailing Address - Fax:407-636-7816
Practice Address - Street 1:16106 MARSH RD STE 102
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-9182
Practice Address - Country:US
Practice Address - Phone:407-635-3090
Practice Address - Fax:407-636-7816
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT224459207Q00000X
FLME165718207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine