MR. CHRISTOPHER GAMBOA (NPI# 1114462082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114462082 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER GAMBOA |
| Credential | PA-C |
| Practice Address |
1000 E Hillsboro Blvd Ste 102 Deerfield Beach FL 33441 |
| Mailing Address |
6330 Hood St Hollywood FL 33024-2128 |
| Practice Telephone | 5470829769 |
| Practice Fax Number | 9542006852 |
| Mailing Telephone | 9545498210 |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2018-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9110050 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083235444 | Christopher Michael Gamboa | Student in an Organized Health Care Education/Training Program | 1 Family Practice Dr, Kingston, NY 12401-6449 | 2020-04-27 |
| Street Address |
1000 E HILLSBORO BLVD STE 102 |
| City | DEERFIELD BEACH |
| State | FL |
| Zip Code | 33441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808639 | Rosys Paula | Family Medicine | 1100 Us-1, Deerfield Beach, FL 33441 | 2020-10-14 |
| 1548882319 | Melrose Institute, LLC | Clinic/Center | 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 | 2020-05-14 |
| 1699335398 | Stephanie Palma | Behavior Technician | 500 Fairway Dr, Suite 102 Deerfield Beach, Fl 33441, Deerfield Beach, FL 33441 | 2019-06-17 |
| 1447813043 | Cassidy Burke | Behavior Technician | Butterfly Effects LLC. 500 Fairway Dr., Suite 102, Deerfield Beach, FL 33441 | 2019-04-18 |
| 1417447715 | Nicola Rotoli | Massage Therapist | 2806a Sw Natura Nlvd, Unit A, Deerfield Beach, FL 33441 | 2018-05-14 |
| 1669998076 | Tellus LLC | Home Health | 800 Fairway Dr #360, Deerfield Beach, FL 33441 | 2017-08-17 |
| 1699204958 | Christine Angelo | Behavior Technician | 500 Fairway Dr.suite 102, Deerfield Beach, FL 33441 | 2017-06-08 |
| 1053848705 | Coqui Medical Specialties | Durable Medical Equipment & Medical Supplies | 832 S.e. 8th Avenue, Deerfield Beach, FL 33441 | 2017-05-12 |
| 1871041285 | Erica Etienne | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 33441 | 2016-09-14 |
| 1053785329 | Tiffany Williams | Developmental Therapist | 500 Fairway Dr. Suite 102, Deerfield Beach, FL 33441 | 2015-11-24 |
| Find all providers in zip 33441 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144865098 | Cynthia Mirand | Physician Assistant | 3380 Sw 1st St, Deerfield Beach, FL 33442-2304 | 2019-11-14 |
| 1508499146 | Christopher A Dominguez | Physician Assistant | 280 Sw Natura Ave, Deerfield Beach, FL 33441-3026 | 2020-02-21 |
| 1033675277 | Neal Hodges Fouke | Physician Assistant | 502 S Federal Hwy, Deerfield Beach, FL 33441 | 2019-02-12 |
| 1700397254 | Kendally Guardia | Physician Assistant | 280 Sw Natura Ave, Deerfield Beach, FL 33441 | 2017-10-23 |
| 1467883884 | Alison Roloff | Physician Assistant | 3313 W Hillsboro Blvd, Unit 100, Deerfield Beach, FL 33442-9423 | 2013-12-11 |
| 1609063130 | Niti Sheth Chadha | Physician Assistant | 220 Sw Natura Ave, Deerfield Beach, FL 33441-3026 | 2007-09-28 |
| 1710192133 | Louise M Forte | Physician Assistant | 750 S Federal Hwy, Minor Emergi Center, Deerfield Beach, FL 33441-5767 | 2007-05-10 |
| 1699850776 | Vickie L Reed | Physician Assistant | 750 S Federal Hwy, Deerfield Beach, FL 33441-5767 | 2006-10-26 |
| 1205850179 | Arthur A Alvarez | Physician Assistant | 750 S Federal Hwy, Deerfield Beach, FL 33441-5767 | 2006-07-26 |
| 1043247844 | Fausto X Almeida | Physician Assistant | 750 S Federal Hwy, Deerfield Beach, FL 33441-5767 | 2006-06-27 |
| Find all providers in DEERFIELD BEACH | ||||
| City | DEERFIELD BEACH |
| Zip Code | 33441 |
Please comment or provide details below to improve the information on MR. CHRISTOPHER GAMBOA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.