Domenech, Gabriel

Domenech, Gabriel is an individual health care provider with primary practice located at 12741 Miramar Pkwy Suite 306, Miramar FL 33027-2903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Domenech, Gabriel can be contacted via phone (954) 862-5300.

Contact Information

Primary practice address
12741 Miramar Pkwy Suite 306 Miramar FL 33027-2903
Phone: (954) 862-5300
Fax: (954) 499-5556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 78342 Florida

Profile Details

NPI number 1427043785
LBN Legal business name Domenech, Gabriel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated May 3rd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427043785 NPPES
Florida Other 198641 WELLCARE
Florida Other P1019778 WELLCARE
Florida Other 5379008 WELLCARE
Florida Other 9781 WELLCARE
Florida Other P958304 WELLCARE
Florida Other 263268 WELLCARE
Florida Other P01391282 WELLCARE
Florida Other QMP000005289550 WELLCARE
Florida Other 46944 WELLCARE
Florida Other 5733554 WELLCARE
Florida Other F00215771101 WELLCARE

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