Gabriel Domenech MD PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME 78342 Issued in FL

Legal business name

GABRIEL DOMENECH MD PA

Practice address

201 NW 82ND Ave Ste 201
Plantation, FL 33324-1854

Phone

(954) 314-7100

Fax

(954) 324-7133

NPI assigned

May 18, 2006

Last updated

Mar 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gabriel Domenech, M.D.NPI 1427043785

Title

Owner

Phone

(954) 253-3114

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Gabriel Domenech, MD

  • Hematology & Oncology Physician
  • Plantation, FL
  • NPI 1427043785
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1417900994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 WINDJAMMER WAY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330195035",
            "telephone_number": "954-253-3114",
            "fax_number": "954-961-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE STE 201",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241854",
            "telephone_number": "954-314-7100",
            "fax_number": "954-324-7133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3659 S Miami Ave Ste 2001",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334254",
            "country_code": "US",
            "telephone_number": "954-314-7100",
            "fax_number": "954-324-7133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GABRIEL DOMENECH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "DOMENECH",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-253-3114",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME 78342",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marques Eugene Fulmer, PHARMD
• Maria Gimena Fuquene, OTR/L
• Debra Beth Futterman, LCSW
• G Sarlis Group Inc Dba Self360
• Abanoub Gabra
• Ruchika Thapar Gadh, D.O
• Rundeep Singh Gadh, D.O.
• Chantal M. Gagnon, MS, MA, LMHC
• Angela Gaines Geter
• Joanna Ashley Galasso, O.D.

• Hematology & Oncology Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.