Individual
DR. GABOR MENCZELESZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3574 US HIGHWAY 1 S STE 102, SAINT AUGUSTINE, FL 32086-6467
(904) 217-7161
(904) 217-4075
Mailing address
4620 PEELE ST, ELKTON, FL 32033-4015
(904) 302-1558
(904) 562-3343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME122201
FL
207R00000X
Internal Medicine Physician
210461
NY
207R00000X
Internal Medicine Physician
ME122201
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
ME122201
FL
Other
Enumeration date
08/23/2005
Last updated
03/21/2024
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