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Gabriel Domenech, MD
Hematology & Oncology Physician in Miramar, Florida
NPI 1427043785

Gabriel Domenech is a Hematology & Oncology Physician based in Fort Myers, FL and is specialized in Hematology & Oncology. Gabriel Domenech practices in Miramar, FL and has the professional credentials of MD. The NPI Number for Gabriel Domenech is 1427043785 and holds a License No. 78342 (Florida).

The current practice location address for Gabriel Domenech is 12741 Miramar Pkwy, Miramar, FL and can be reached out via phone at 954-862-5300 and via fax at 954-499-5556.

Location: 12741 Miramar Pkwy, Miramar, FL, 33907-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427043785
Provider Name
Gabriel Domenech
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12741 Miramar Pkwy, Miramar, FL, 33907-1412
Phone Number
954-862-5300
Fax Number
954-499-5556
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
198641 01 FL WELLCARE
P1019778 01 FL FREEDOM
5379008 01 FL CIGNA
9781 01 FL DIMENSION HEALTH
P958304 01 FL OPTIMUM
263268 01 FL AVMED
P01391282 01 FL RR MEDICARE
QMP000005289550 01 FL MOLINA
46944 01 FL BCBS
5733554 01 FL AETNA
F00215771101 01 FL UNITED
institution
Provider Business Practice Location Address Details
Address
12741 Miramar Pkwy
City
Miramar
State
Florida
Zip
33027-2903
Phone Number
954-862-5300
Fax Number
954-499-5556
person
Provider Business Mailing Address Details
Address
12741 Miramar Pkwy
City
Miramar
State
Florida
Zip
33027-2903
Phone Number
954-862-5300
Fax Number
954-499-5556
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
78342 (Florida)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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