Provider Demographics
NPI:1942397112
Name:GABE, DANIEL B (DPM)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:GABE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 N FEDERAL HWY
Mailing Address - Street 2:STE 200
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2416
Mailing Address - Country:US
Mailing Address - Phone:954-454-5221
Mailing Address - Fax:954-458-4232
Practice Address - Street 1:1001 N FEDERAL HWY
Practice Address - Street 2:STE 200
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2416
Practice Address - Country:US
Practice Address - Phone:954-454-5221
Practice Address - Fax:954-458-4232
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 1674213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00362517OtherMEDICARE RAILROAD
IL0342740001Medicare NSC
IL751441Medicare PIN
ILT38518Medicare UPIN
IL60001520OtherBC/BS