Individual
DR. GABRIEL MARK WERDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 549-0677
(321) 722-2432
Mailing address
373 PEREGRINE DR, INDIALANTIC, FL 32903-4744
(248) 703-3878
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101253202
VA
2085R0202X
Diagnostic Radiology Physician
24855
WV
2085R0202X
Diagnostic Radiology Physician
Primary
ME126311
FL
2085R0204X
Vascular & Interventional Radiology Physician
0101253202
VA
2085R0204X
Vascular & Interventional Radiology Physician
24855
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10103500
SENTARA HEALTH PLAN
VA
01
—
10106888
SENTARA HEALTH PLAN
VA
05
—
101327600
—
FL
05
—
121757400
—
FL
01
—
9545845
AETNA HEALTHCARE
VA
01
—
LQ097
FL MEDICARE
FL
01
—
W3341
HFMG
FL
Enumeration date
05/10/2007
Last updated
03/02/2026
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