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NPI Code Detail

MEDICARE: GABRIEL SATCHELL

MEDICARE: GABRIEL SATCHELL
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
1363LF0000XFamily Nurse Practitioner11044088FL

General Provider Information

NPI Number : 1457294043
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIEL SATCHELL
Provider Business Mailing Address
First Line : 619 NE 7TH AVE
Second Line :
City : CRYSTAL RIVER
State : FL
Zip : 34428-3733
Country : US
Telephone Number : 352-464-0096
Fax Number :
Provider Business Practice Location Address
First Line : 6038 W NORDLING LOOP
Second Line :
City : CRYSTAL RIVER
State : FL
Zip : 34429-8715
Country : US
Telephone Number : 352-563-5070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “ GABRIEL SATCHELL ” Practice Location

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