Maria Jose Gamboa, PTA
Physical Medicine & Rehabilitation in Plantation, FL. Individual provider (NPI-1).
NPI number1770194656
StatusActive
Last updated in NPPESAug 13, 2020
Details
- NPI
- 1770194656
- Entity type
- Individual (NPI-1)
- Name
- Maria Jose Gamboa
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2020
- Certification date
- Aug 13, 2020
- Last updated
- Aug 13, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | PTA30483 | FL | Yes |
Practice location
8020 Cleary Blvd Apt 207Plantation, FL 33324-1349
Phone 954-309-7602
Mailing address
8020 Cleary Blvd Apt 207Plantation, FL 33324-1349
Phone 954-309-7602
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Physical Medicine & Rehabilitation Physician providers in Plantation · All 4,967 providers in Plantation
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