Search › Florida › 363L00000X
Gwen Gamboa
NPI 1104225721 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5456 Luella St
Jacksonville, FL 32207 - Phone
- (904) 866-2937
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida