Provider Demographics
NPI:1366493652
Name:GABRIEL, NEHME (MD)
Entity Type:Individual
Prefix:
First Name:NEHME
Middle Name:
Last Name:GABRIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 PERKINS ST
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-4350
Mailing Address - Country:US
Mailing Address - Phone:352-315-4111
Mailing Address - Fax:352-315-4112
Practice Address - Street 1:822 PERKINS ST
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-4350
Practice Address - Country:US
Practice Address - Phone:352-315-4111
Practice Address - Fax:352-315-4112
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00751207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL44599ZMedicare ID - Type Unspecified