Edwin Gamboa

NPI 1306130828 · on the registry since 2011

Practice

Address: 2760 Dora Ave
Tavares, FL 32778
Phone: (352) 742-7837
Fax: (352) 508-5113
Organisation at this address: Step By Step Therapy, Inc
Fullsail Therapy Service, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-06-01

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