MEDICARE: DR. GABRIEL J ECHEGARAY MD

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	207XS0106X	Orthopaedic Hand Surgery Physician	ME173283	FL

General Provider Information

NPI Number	:	1821519372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GABRIEL J ECHEGARAY MD

Provider Business Mailing Address
First Line	:	1325 SAN MARCO BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8568
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 SAN MARCO BLVD STE 200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8566
Country	:	US
Telephone Number	:	904-346-3465
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2017
Last Update Date	:	02/09/2026

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