Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME97668 | FL |
Y | 111NI0900X | Internist | ME97668 | FL |
N | 207RG0300X | Geriatric Medicine | ME97668 | FL |
NPI | 1124093331 |
---|---|
Provider Name | Dr. Gabriel Gavrilescu |
First Address | Weston, FL 33331-3609 |
Second Address | Weston, FL 33331-3609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 05/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036108625 | (05) | IL |
I06698 | (02) |