Healthcare Provider Details

I. General information

NPI: 1649288416
Provider Name (Legal Business Name): GABRIEL VOROBIOF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 WASHINGTON ST STE 100
HOLLYWOOD FL
33021-8213
US

IV. Provider business mailing address

22287 MULHOLLAND HWY # 613
CALABASAS CA
91302-5157
US

V. Phone/Fax

Practice location:
  • Phone: 954-282-1836
  • Fax: 571-386-2617
Mailing address:
  • Phone: 818-308-4223
  • Fax: 818-925-2482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number046843
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: