Healthcare Provider Details

I. General information

NPI: 1316433881
Provider Name (Legal Business Name): GABY GHOBRIAL MD, PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2018
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 CATTLEMEN RD STE 2026
SARASOTA FL
34232-6056
US

IV. Provider business mailing address

943 S BENEVA RD STE 306
SARASOTA FL
34232-2499
US

V. Phone/Fax

Practice location:
  • Phone: 941-341-0042
  • Fax: 941-342-3432
Mailing address:
  • Phone: 941-955-1108
  • Fax: 941-954-4440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME168580
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: