Gabriel, Larry Charles

Gabriel, Larry Charles is an individual health care provider with primary practice located at 1034 Mar Walt Dr Ste 200, Fort Walton Beach FL 32547-6639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gabriel, Larry Charles can be contacted via phone (850) 862-4001.

Contact Information

Primary practice address
1034 Mar Walt Dr Ste 200 Fort Walton Beach FL 32547-6639
Phone: (850) 862-4001
Fax: (850) 862-1612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME111546 Florida

Profile Details

NPI number 1184637282
LBN Legal business name Gabriel, Larry Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jun 24th, 2016 - about 9 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 1184637282 NPPES
Pennsylvania MEDICAID 9667180001

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