MEDICARE: THE GABEL CENTER, LLC

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
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1598196545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE GABEL CENTER, LLC

Provider Business Mailing Address
First Line	:	7128 ESTERO BLVD
Second Line	:
City	:	FORT MYERS BEACH
State	:	FL
Zip	:	33931-4706
Country	:	US
Telephone Number	:	954-746-8232
Fax Number	:	954-746-8231

Provider Business Practice Location Address
First Line	:	7128 ESTERO BLVD
Second Line	:
City	:	FORT MYERS BEACH
State	:	FL
Zip	:	33931-4706
Country	:	US
Telephone Number	:	954-746-8232
Fax Number	:	954-746-8231

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	NEISHA ZAFFUTO
Credential	:
Telephone Number	:	954-746-8232

Provider Enumeration Date	:	12/02/2013
Last Update Date	:	12/02/2013

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