Provider Demographics
NPI:1518987288
Name:GABEL, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:GABEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 LEE RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1855
Mailing Address - Country:US
Mailing Address - Phone:407-628-9877
Mailing Address - Fax:407-644-8880
Practice Address - Street 1:2200 LEE RD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1855
Practice Address - Country:US
Practice Address - Phone:407-628-9877
Practice Address - Fax:407-644-8880
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL72571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice