Healthcare Provider Details

I. General information

NPI: 1225733678
Provider Name (Legal Business Name): SANDRA GABRIEL DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 DELAWARE AVE
FORT PIERCE FL
34950-3975
US

IV. Provider business mailing address

15634 SW 16TH CT
PEMBROKE PINES FL
33027-2348
US

V. Phone/Fax

Practice location:
  • Phone: 772-461-1402
  • Fax: 772-252-7114
Mailing address:
  • Phone: 786-378-0227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11025599
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9173368
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: