MEDICARE: MARK GABEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW7751	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437540622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK GABEL

Provider Business Mailing Address
First Line	:	1302 RIVER ST
Second Line	:
City	:	PALATKA
State	:	FL
Zip	:	32177-5042
Country	:	US
Telephone Number	:	386-328-8371
Fax Number	:

Provider Business Practice Location Address
First Line	:	1305 N ORANGE AVE
Second Line	:
City	:	GREEN COVE SPRINGS
State	:	FL
Zip	:	32043-2547
Country	:	US
Telephone Number	:	904-284-5904
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2015
Last Update Date	:	02/10/2015

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