Individual
MR. GLENN EARL GABORKO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
UNIVERSITY OF CENTRAL FLORIDA STUDENT HEALTH SERVICES, BUILDING 127, ORLANDO, FL 32816-0001
(407) 823-1616
(407) 823-1611
Mailing address
2147 WESTBOURNE DR, OVIEDO, FL 32765-5159
(407) 687-4577
(407) 823-1611
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2637
FL
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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