NPI 1235623646

Carolina M Gamazo, ITDS

Practitioner Early Intervention Provider Agency Clermont, FL

Practice location

Address: 2400 S Highway 27 STE B201, Clermont, FL 34711-6816
Phone: (352) 394-0212
Fax: (352) 241-6361

Registered specialties (2)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Developmental Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Registry record

NPI: 1235623646
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2018
Record last updated: 19 Jun 2018

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.