Individual
DR. CARLOS H. GAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2736 UNIVERSITY BLVD W STE 3, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32217-2170
(904) 733-4262
(904) 636-5786
Mailing address
PO BOX 44004, JACKSONVILLE, FL 32231-4004
(904) 202-1032
(904) 636-5786
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME39492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450456-00
—
FL
Enumeration date
06/20/2005
Last updated
11/18/2015
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