MEDICARE: GABICO SERVICES INC

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	202K00000X	Phlebology Physician

General Provider Information

NPI Number	:	1952513939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GABICO SERVICES INC

Provider Business Mailing Address
First Line	:	3300 PGA BLVD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-2821
Country	:	US
Telephone Number	:	561-624-5347
Fax Number	:

Provider Business Practice Location Address
First Line	:	8446 SOUTH DIXIE HWY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33154
Country	:	US
Telephone Number	:	305-667-7373
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELVIA GONZALEZ
Credential	:
Telephone Number	:	561-624-5347

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	08/22/2020

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Directions to “GABICO SERVICES INC ” Practice Location

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