Edwin Arnoldo Gamboa

Speech-Language Pathologist · Tavares, FL

Individual Active NPI

NPI number 1306130828

Practice location

2760 Dora Ave
Tavares, FL 32778
Phone
(352) 742-7837
Fax
(352) 508-5113

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NPI record

NPI
1306130828
Entity type
Individual (Type 1)
Enumeration date
June 1, 2011
Last updated
June 1, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SZ5326 FL

About Edwin Gamboa

Edwin Arnoldo Gamboa is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 2760 Dora Ave, Tavares, FL 32778. The NPI number 1306130828 was assigned on June 1, 2011 and the record was last updated on June 1, 2011.

Edwin Gamboa lists a license in the registry: #SZ5326 (FL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edwin Arnoldo Gamboa?

The NPI number is 1306130828.

What is the phone number of Edwin Gamboa?

The phone number listed for the practice location is (352) 742-7837.

Where is Edwin Gamboa located?

2760 Dora Ave, Tavares, FL 32778.

What is the taxonomy code for Edwin Gamboa?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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