Provider Demographics
NPI:1407815012
Name:FLORIT, GABRIEL PABLO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:PABLO
Last Name:FLORIT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347TH MEDICAL GROUP PHARMACY
Mailing Address - Street 2:3278 MITCHELL BLVD
Mailing Address - City:MOODY A F B
Mailing Address - State:GA
Mailing Address - Zip Code:31699-0001
Mailing Address - Country:US
Mailing Address - Phone:229-257-2342
Mailing Address - Fax:
Practice Address - Street 1:347TH MEDICAL GROUP PHARMACY
Practice Address - Street 2:3278 MITCHELL BLVD
Practice Address - City:MOODY A F B
Practice Address - State:GA
Practice Address - Zip Code:31699-0001
Practice Address - Country:US
Practice Address - Phone:229-257-2342
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP305591835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy