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Contact Information

CAROLINA M GAMAZO, ITDS
2400 S HIGHWAY 27 STE B201
CLERMONT, FL34711-6816
 Phone: 352-394-0212
 Fax: 352-241-6361
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for

NPI # 1235623646
Entity Organization
Organization subpart 1 Not specified
Enumeration date 06/19/2018
Last updated 06/19/2018 - About 8 years ago
Identifiers
FL Medicaid 00000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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