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NPI Code Detail

MEDICARE: DR. ABNER JOSE GABALDON

MEDICARE:  DR. ABNER JOSE GABALDON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianACN305FL

General Provider Information

NPI Number : 1497940043
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABNER JOSE GABALDON
Provider Business Mailing Address
First Line : 804 EMMETT ST
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-5434
Country : US
Telephone Number : 407-452-2498
Fax Number :
Provider Business Practice Location Address
First Line : 804 EMMETT ST
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-5434
Country : US
Telephone Number : 407-452-2498
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2007
Last Update Date : 11/08/2013

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Directions to “ DR. ABNER JOSE GABALDON ” Practice Location

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