Individual
GABRIEL DOMENECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
78342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198641
WELLCARE
FL
01
—
263268
AVMED
FL
01
—
46944
BCBS
FL
01
—
5379008
CIGNA
FL
01
—
5733554
AETNA
FL
01
—
9781
DIMENSION HEALTH
FL
01
—
F00215771101
UNITED
FL
01
—
P01391282
RR MEDICARE
FL
01
—
P1019778
FREEDOM
FL
01
—
P958304
OPTIMUM
FL
01
—
QMP000005289550
MOLINA
FL
Enumeration date
09/13/2005
Last updated
03/13/2025
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