Hernandez, Gabriel

Hernandez, Gabriel is an individual health care provider with primary practice located at 2222 S Harbor City Blvd , Melbourne FL 32901-5594. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hernandez, Gabriel can be contacted via phone (321) 725-5050.

Contact Information

Primary practice address
2222 S Harbor City Blvd Melbourne FL 32901-5594
Fax: (321) 722-2943
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME49471 Florida

Profile Details

NPI number 1598730210
LBN Legal business name Hernandez, Gabriel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Oct 24th, 2014 - about 12 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 1598730210 NPPES
Florida MEDICAID 061484000

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