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Individual

CAROLINA M GAMAZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ITDS

Contact information

Practice address
2400 S HIGHWAY 27 STE B201, CLERMONT, FL 34711-6816
(352) 394-0212
(352) 241-6361
Mailing address
2400 S HIGHWAY 27 STE B201, CLERMONT, FL 34711-6816
(352) 394-0212
(352) 241-6361

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
252Y00000X
Early Intervention Provider Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000
FL
Enumeration date
06/19/2018
Last updated
06/19/2018
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