MR. GLENN EARL GABORKO JR. (NPI# 1497819577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497819577 |
| Entity Type | Individual |
| Full Name | MR. GLENN EARL GABORKO JR. |
| Credential | PA-C |
| Practice Address |
University of Central Florida Student Health Services Building 127 Orlando FL 32816-0001 |
| Mailing Address |
2147 Westbourne Dr Oviedo FL 32765-5159 |
| Practice Telephone | 4078231616 |
| Practice Fax Number | 4078231611 |
| Mailing Telephone | 4076874577 |
| Mailing Fax Number | 4078231611 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2637 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
UNIVERSITY OF CENTRAL FLORIDA STUDENT HEALTH SERVICES BUILDING 127 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32816-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667934 | Zamaris Rivera | Student in an Organized Health Care Education/Training Program | 12805 Pegasus Drive, Room 123, Orlando, FL 32816 | 2020-04-04 |
| 1396259867 | Logan T Mahlock | Specialist/Technologist | 4364 Scorpius St, Orlando, FL 32816 | 2017-11-20 |
| 1609398064 | Micaela Breann Ward | Student in an Organized Health Care Education/Training Program | 4266 West Plaza Drive, Orlando, FL 32816 | 2017-07-07 |
| 1427178276 | Ordella Georgette Hawkins | Nurse Practitioner | 4098 Libra Dr, Orlando, FL 32816 | 2007-03-29 |
| 1346398021 | Kelly Ann Roberts | Family Medicine | 4098 Libra Dr, Orlando, FL 32816 | 2007-01-08 |
| 1407463508 | Michelle A Trak | Student in an Organized Health Care Education/Training Program | 2201 Research Parkway Suite 300, Orlando, FL 32816-0001 | 2020-09-23 |
| 1891330262 | Karly Branch | Psychologist | 4090 Libra Dr Ucf Counseling & Psychological Services, Orlando, FL 32816-0001 | 2019-11-08 |
| 1164994885 | Amie R Newins | Psychologist | 4111 Pictor Lane Psychology Building Suite 320, Orlando, FL 32816-0001 | 2018-12-19 |
| 1942795489 | Alexandra Carvajal | Specialist/Technologist | 4000 Central Blvd, Orlando, FL 32816-0001 | 2018-06-27 |
| 1427579069 | Zya'nel Moorehead-mckie | Student in an Organized Health Care Education/Training Program | 4000 University Blvd, Orlando, FL 32816-0001 | 2017-07-05 |
| Find all providers in zip 32816 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770054843 | Cynthia Marie Mills | Physician Assistant | 7806 Lake Underhill Rd Ste 104, Orlando, FL 32822-8232 | 2018-12-16 |
| 1447751029 | Brittney Marie Osterhoudt | Physician Assistant | 2014 S Orange Ave Ste 101, Orlando, FL 32806-3069 | 2018-02-28 |
| 1164934006 | Stephanie Carmen Oberweger | Physician Assistant | 8124 Chianti Dr, Orlando, FL 32836-5311 | 2017-11-01 |
| 1881046407 | Chrystal Danielle Fravel | Physician Assistant | 2609 S Orange Ave, Orlando, FL 32806-4547 | 2016-07-07 |
| 1922498740 | Taylor Stetson | Physician Assistant | 7403 Sugar Bend Dr, Orlando, FL 32819-7215 | 2015-02-01 |
| 1619370103 | Emily R Avgeropoulos | Physician Assistant | 7512 Dr Phillips Blvd Ste 50-209, Orlando, FL 32819-5420 | 2014-09-29 |
| 1417357567 | Allyson Lee | Physician Assistant | 3090 Caruso Ct, Orlando, FL 32806-8510 | 2014-08-26 |
| 1386052371 | Nancy Callaham | Physician Assistant | 6953 Cadiz Blvd, Orlando, FL 32819-4713 | 2014-07-23 |
| 1922367010 | Quality Care Providers | Physician Assistant | 5565 Cinderlane Pkwy, 291, Orlando, FL 32808-4705 | 2012-05-09 |
| 1013212067 | Rheumatology Associates of Central Fl. | Physician Assistant | 3160 Southgate Commerce Blvd Bldg Suite30, Orlando, FL 32806-8549 | 2011-01-24 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on MR. GLENN EARL GABORKO JR..
| 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.