Individual
MARIA JOSE GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8020 CLEARY BLVD APT 207, PLANTATION, FL 33324-1349
(954) 309-7602
Mailing address
8020 CLEARY BLVD APT 207, PLANTATION, FL 33324-1349
(954) 309-7602
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA30483
FL
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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