Healthcare Provider Details

I. General information

NPI: 1720951148
Provider Name (Legal Business Name): GABRIEL FLORES ABUNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 S UNIVERSITY DR
FT LAUDERDALE FL
33328-2004
US

IV. Provider business mailing address

3890 SW 64TH AVE APT 409
DAVIE FL
33314-2588
US

V. Phone/Fax

Practice location:
  • Phone: 252-378-7984
  • Fax:
Mailing address:
  • Phone: 252-378-7984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDTP830
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDTP830
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: