Organization
GABRIEL DOMENECH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL DOMENECH M.D. (OWNER)
(954) 253-3114
Entity
Organization
Contact information
Practice address
201 NW 82ND AVE STE 201, PLANTATION, FL 33324-1854
(954) 314-7100
(954) 324-7133
Mailing address
1515 WINDJAMMER WAY, HOLLYWOOD, FL 33019-5035
(954) 253-3114
(954) 961-9282
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME 78342
FL
332900000X
Non-Pharmacy Dispensing Site
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Other
Enumeration date
05/18/2006
Last updated
03/13/2025
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