Gamazo, Carolina M

Gamazo, Carolina M is an sole proprietor health care provider with primary practice located at 2400 S Highway 27 Ste B201 , Clermont FL 34711-6816. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is her primary health care specialty. Gamazo, Carolina M can be contacted via phone (352) 394-0212.

Contact Information

Primary practice address
2400 S Highway 27 Ste B201 Clermont FL 34711-6816
Phone: (352) 394-0212
Fax: (352) 241-6361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1235623646
LBN Legal business name Gamazo, Carolina M
Credentials ITDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2018
Last updated Jun 19th, 2018 - about 6 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1235623646 NPPES
Florida MEDICAID 00000

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