Individual
DR. GABRIEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 JOHNSON ST, HOLLYWOOD, FL 33021-6031
(954) 265-2550
(954) 265-2570
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5663
(954) 276-0301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME107333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004108400
—
FL
Enumeration date
08/21/2008
Last updated
03/28/2019
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