Provider Demographics
NPI:1780211904
Name:MARTELLO, GABRIEL ANDREW (DO)
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:ANDREW
Last Name:MARTELLO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:938 CYPRESS VILLAGE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-6835
Mailing Address - Country:US
Mailing Address - Phone:813-333-5080
Mailing Address - Fax:813-771-7717
Practice Address - Street 1:938 CYPRESS VILLAGE BLVD STE A
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-6835
Practice Address - Country:US
Practice Address - Phone:813-333-5080
Practice Address - Fax:813-771-7717
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS20349207RR0500X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology