Fajardo, Analiza Gamboa

Fajardo, Analiza Gamboa is an individual health care provider with primary practice located at 11595 Burnt Mill Rd , Jacksonville FL 32256-3096. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, which is considered as her primary health care specialty. Fajardo, Analiza Gamboa can be contacted via phone (904) 596-5000.

Contact Information

Primary practice address
11595 Burnt Mill Rd Jacksonville FL 32256-3096
Phone: (904) 596-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X 056.008331 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X OT22048 Florida

Profile Details

NPI number 1659514560
LBN Legal business name Fajardo, Analiza Gamboa
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2009
Last updated Jun 6th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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