Healthcare Provider Details

I. General information

NPI: 1104089226
Provider Name (Legal Business Name): LAURICE HELEN GABRIEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E PALMETTO PARK RD STE 201
BOCA RATON FL
33432-4864
US

IV. Provider business mailing address

1001 NW 13TH ST STE 201
BOCA RATON FL
33486-2269
US

V. Phone/Fax

Practice location:
  • Phone: 561-588-0411
  • Fax: 833-625-1628
Mailing address:
  • Phone: 561-588-0411
  • Fax: 561-955-2879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME121206
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: