Provider Demographics
NPI:1780643189
Name:PAULIAN, GABRIEL DAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:DAN
Last Name:PAULIAN
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:PO BOX 918025
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-8025
Mailing Address - Country:US
Mailing Address - Phone:352-265-3284
Mailing Address - Fax:352-462-7127
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3003
Practice Address - Country:US
Practice Address - Phone:352-265-3284
Practice Address - Fax:352-462-7127
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95023207R00000X, 207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2744414-00Medicaid
FLP00341450OtherRAILROAD MEDICARE
GA864693648AMedicaid
FLI50806Medicare UPIN
FL2744414-00Medicaid
GA864693648AMedicaid