Gamboa, Heidi

Gamboa, Heidi is an individual health care provider with primary practice located at 3100 Sw 62Nd Ave , Miami FL 33155. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Gamboa, Heidi can be contacted via phone (305) 666-6511.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Miami FL 33155
Phone: (305) 666-6511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C7-0005845 Delaware
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 70100 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X OS15951 Florida

Profile Details

NPI number 1285996322
LBN Legal business name Gamboa, Heidi
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2012
Last updated May 20th, 2019 - 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 1285996322 NPPES
Wisconsin MEDICAID 1285996322

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