Individual
MR. LARRY CHARLES GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 MAR WALT DR, STE 200, FORT WALTON BEACH, FL 32547-6639
(850) 862-4001
(850) 862-1612
Mailing address
1034 MAR WALT DR, SUITE 200, FORT WALTON BEACH, FL 32547-6639
(850) 862-4001
(850) 862-1612
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME111546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9667180001
—
PA
Enumeration date
08/13/2006
Last updated
06/24/2016
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