Gabriel, Abigail Lomangcolob

Gabriel, Abigail Lomangcolob is an individual health care provider with primary practice located at 1600 Sw Archer Rd Box 100371, Gainesville FL 32610-3001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gabriel, Abigail Lomangcolob can be contacted via phone (352) 265-0301.

Contact Information

Primary practice address
1600 Sw Archer Rd Box 100371 Gainesville FL 32610-3001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP2625142 Florida

Profile Details

NPI number 1902805526
LBN Legal business name Gabriel, Abigail Lomangcolob
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Nov 8th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902805526 NPPES
Florida MEDICAID 306490500

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