| Mr Larry Charles Gabriel, MD | |
|
1034 Mar Walt Dr, Ste 200, Fort Walton Beach, FL 32547-6639 | |
| (850) 862-4001 | |
| (850) 862-1612 |
| Full Name | Mr Larry Charles Gabriel |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1034 Mar Walt Dr, Fort Walton Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184637282 | NPI | - | NPPES |
| 9667180001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | ME111546 (Florida) | Primary |
| Entity Name | Emerald Coast Eye Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669421467 PECOS PAC ID: 7517862329 Enrollment ID: O20031204000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry Charles Gabriel, MD 1034 Mar Walt Dr, Suite 200, Fort Walton Beach, FL 32547-6639 Ph: (850) 862-4001 | Mr Larry Charles Gabriel, MD 1034 Mar Walt Dr, Ste 200, Fort Walton Beach, FL 32547-6639 Ph: (850) 862-4001 |
Dr. Omer Gal, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 348 Miracle Strip Pkwy Sw Ste 38, Fort Walton Beach, FL 32548 Phone: 850-346-1144 | |
Dr. Thomas Daniel Bailey, MD FACS Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 911 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-4001 Fax: 850-862-1612 | |
Todd W Robinson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 911 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-4001 Fax: 850-862-1612 | |
Dr. Karen Sherrill Stein, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 906b Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-301-2020 Fax: 850-301-2023 | |
Dr. Lealis L Hale, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1005 Mar Walt Dr, Ophthalmology Department, Fort Walton Beach, FL 32547 Phone: 850-863-8233 Fax: 850-863-1127 | |
Dr. Brian S Planchard, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1034 Mar Walt Dr Unit 200, Fort Walton Beach, FL 32547 Phone: 850-862-4001 Fax: 850-862-1612 |