NPIMap

Organization Active NPI

Gastroenterology and Nutrition of Central Florida LLC

  • Gastroenterology Physician
  • Leesburg, FL
National Provider Identifier
1316996945
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY AND NUTRITION OF CENTRAL FLORIDA LLC
Practice address
822 Perkins St
Leesburg, FL 34748-4350
Phone
(352) 315-4111
Fax
(352) 315-4112
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nehme Gabriel, MDNPI 1366493652
Title
Owner
Phone
(352) 638-3883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary
Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0006X

Addresses

Primary practice location

822 Perkins St
Leesburg, FL 34748-4350

Mailing address

822 Perkins St
Leesburg, FL 34748-4350
Phone (352) 315-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070207000232 FL Part B Supplier - Clinic/Group Practice 8921000787 Receives reassigned benefits from 17 practitioners
Practice locations: Leesburg, FL

National Provider Directory

National Provider Directory

Locations

8550 NE 138th Ln
Ste 101
Lady Lake, FL 32159

120 E North Blvd
Leesburg, FL 34748
Phone (352) 728-2999

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1316996945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 PERKINS ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484350",
            "telephone_number": "352-315-4111",
            "fax_number": "352-315-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PERKINS ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484350",
            "telephone_number": "352-315-4111",
            "fax_number": "352-315-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY AND NUTRITION OF CENTRAL FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "NEHME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-638-3883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.