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1609821545 NPI number — ERIC MATTHEW GABRIEL M.D.

NPI Number: 1609821545
Health Care Provider/Practitioner: ERIC MATTHEW GABRIEL M.D.

Information about “1609821545” NPI (ERIC MATTHEW GABRIEL M.D.) exists in 1609821545 in HTML format HTML  |  1609821545 in plain Text format TXT  |  1609821545 in PDF (Portable Document Format) PDF  |  1609821545 in an XML format XML  formats.

NPI Number : 1609821545 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609821545",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GABRIEL",
    "FirstName": "ERIC",
    "MiddleName": "MATTHEW",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3 SHIRCLIFF WAY",
    "SecondLineMailingAddress": "SUITE 714",
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32204-4786",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-308-2006",
    "MailingAddressFaxNumber": "904-308-7111",
    "FirstLinePracticeLocationAddress": "3 SHIRCLIFF WAY",
    "SecondLinePracticeLocationAddress": "SUITE 714",
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32204-4786",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-308-2006",
    "PracticeLocationAddressFaxNumber": "904-308-7111",
    "EnumerationDate": "05/22/2006",
    "LastUpdateDate": "05/28/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "ME80322",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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