Provider Demographics
NPI:1417909821
Name:GABOR, ELENA MIRELA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELENA
Middle Name:MIRELA
Last Name:GABOR
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:4106 W LAKE MARY BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3315
Mailing Address - Country:US
Mailing Address - Phone:407-333-2273
Mailing Address - Fax:407-333-2273
Practice Address - Street 1:4106 W LAKE MARY BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3315
Practice Address - Country:US
Practice Address - Phone:407-333-2273
Practice Address - Fax:407-333-2273
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY34175208M00000X
FLME98013207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64341753Medicaid
KY64341753Medicaid