NPI 1174229868

Gabriel Jaime Henao, CPO

Practitioner Prosthetist Gainesville, FL

Practice location

Address: 1601 SW Archer Rd, Gainesville, FL 32608-1135
Phone: (352) 548-6000
Mailing address: 2143 SW 246th Dr, Newberry, FL 32669-5066

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence POR189 (FL)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence ORT290 (FL)

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Registry record

NPI: 1174229868
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Feb 2023
Record last updated: 29 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.