Provider Demographics
NPI:1790769735
Name:GEMAYEL, GABRIEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:E
Last Name:GEMAYEL
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 1:4700 N CONGRESS AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3282
Mailing Address - Country:US
Mailing Address - Phone:561-881-2640
Mailing Address - Fax:561-863-2304
Practice Address - Street 1:4631 N CONGRESS AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3209
Practice Address - Country:US
Practice Address - Phone:561-881-2640
Practice Address - Fax:561-863-2304
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-02
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0061899207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00794601OtherRAILROAD MEDICARE
FL257581700Medicaid
FLP00794601OtherRAILROAD MEDICARE
F72903Medicare UPIN
49226BMedicare ID - Type Unspecified