Healthcare Provider Details

I. General information

NPI: 1407815012
Provider Name (Legal Business Name): GABRIEL PABLO FLORIT PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 USS JAMES MADISON RD
KINGS BAY GA
31547-2531
US

IV. Provider business mailing address

881 USS JAMES MADISON RD
KINGS BAY GA
31547-2531
US

V. Phone/Fax

Practice location:
  • Phone: 912-573-4264
  • Fax:
Mailing address:
  • Phone: 912-573-4285
  • Fax: 912-573-2532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberP30559
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: