Search › South Carolina › 363L00000X
Michael Gambacorta, FNP
NPI 1851393920 · on the registry since 2005
Practice
- Address
- 100 Legends Rd
Ste A
Myrtle Beach, SC 29579 - Phone
- (843) 236-9090
- Fax
- (843) 236-9099
- Organisation at this address
- Myrtle Beach Spine Center, Pa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 208100000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-15
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 South Carolina