Healthcare Provider Details

I. General information

NPI: 1134331119
Provider Name (Legal Business Name): GABICO SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 N FEDERAL HWY
FORT LAUDERDALE FL
33304-2707
US

IV. Provider business mailing address

3300 PGA BLVD
PALM BEACH GARDENS FL
33410-2821
US

V. Phone/Fax

Practice location:
  • Phone: 954-462-7455
  • Fax:
Mailing address:
  • Phone: 561-624-5347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State

VIII. Authorized Official

Name: ELVIA GONZALEZ
Title or Position: PRESIDENT
Credential:
Phone: 561-624-5347