Individual
EDWIN ARNOLDO GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2760 DORA AVE, TAVARES, FL 32778
(352) 742-7837
(352) 508-5113
Mailing address
2760 DORA AVE, TAVARES, FL 32778
(352) 742-7837
(352) 508-5113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ5326
FL
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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