KATHLEEN GABOARDI (NPI# 1821261595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821261595 |
| Entity Type | Individual |
| Full Name | KATHLEEN GABOARDI |
| Credential | DDS, PHD |
| Practice Address |
4800 Lakewood Ranch Blvd Bradenton FL 34211-4953 |
| Practice Telephone | 9414051524 |
| Practice Fax Number | 9414051675 |
| Mailing Telephone | 9414051524 |
| Mailing Fax Number | 9414051675 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DTP676 | FL | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
2901018519 | MI | Dental Providers |
| Street Address |
4800 LAKEWOOD RANCH BLVD |
| City | BRADENTON |
| State | FL |
| Zip Code | 34211-4953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366407025 | Barbara Laurel Casey | Dentist | 4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953 | 2006-04-18 |
| 1437761269 | Adam Dadoun | Student in an Organized Health Care Education/Training Program | 4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953 | 2020-08-21 |
| 1699386953 | Catherine Nguyen | Student in an Organized Health Care Education/Training Program | 4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953 | 2020-08-11 |
| 1699391078 | Ari Levine | Student in an Organized Health Care Education/Training Program | 4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953 | 2020-06-22 |
| 1528680451 | Collin Jackson Chovous | Student in an Organized Health Care Education/Training Program | 4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953 | 2020-05-14 |
| 1750849808 | Valentina Aristizabal | Student in an Organized Health Care Education/Training Program | 4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953 | 2019-03-07 |
| 1093298085 | Charles William Mattis | Dentist | 4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953 | 2018-09-14 |
| 1871080820 | Jon-michael Scalercio | Student in an Organized Health Care Education/Training Program | 4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953 | 2018-04-16 |
| 1891290615 | Ronald Schram | Dentist | 4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953 | 2018-03-25 |
| 1073052825 | Lorenzo Miranda | Dentist | 4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953 | 2017-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
| 1457992414 | Center for Home Dialysis At Lakewood Ranch LLC | Clinic/Center | 1939 Worth Court, Lakewood Ranch, FL 34211 | 2019-10-01 |
| 1811468143 | Life Pharmacy Inc | Pharmacy | 4144 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2018-12-16 |
| 1326557349 | Fabio Rodriguez | Student in an Organized Health Care Education/Training Program | 5000 Lakewood Ranch Blvd, Bradenton, Fl 34211, Bradenton, FL 34211 | 2017-09-21 |
| 1972906121 | Linda Michelle Sizler | Social Worker | 5460 Lena Road, Suite 103, Bradenton, FL 34211 | 2014-10-02 |
| 1972911147 | Cory Matthew Collier | Optometrist | 5489 Lena Rd, Bradenton, FL 34211 | 2014-07-31 |
| 1184069312 | Cassandra Lucia D'addeo | Marriage & Family Therapist | 5454 Lena Rd Unit 106, Bradenton, FL 34211 | 2013-05-01 |
| 1073764338 | Lyndsey K Nalu | Audiologist | 11041 Gatewood Dr, Lakewood Ranch, FL 34211 | 2008-10-06 |
| 1245412451 | Richard A Saladino | Clinic/Center | 11009 Gatewood Dr, #103, Bradenton, FL 34211 | 2007-11-29 |
| 1568528461 | Yusef Cornel Barnes | Chiropractor | 1859 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2006-12-28 |
| Find all providers in zip 34211 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629171061 | Daniel Craig Cohen | Dentist | 2107 59th St West, Bradenton, FL 34209 | 2006-09-07 |
| 1255364022 | Leon Carl De Jongh | Dentist | 2111 59th St W, Bradenton, FL 34209-7015 | 2006-07-07 |
| 1508995242 | L. Carl De Jongh, D.d.s., P.a. | Dentist | 2111 59th St W, Bradenton, FL 34209-7015 | 2007-03-05 |
| 1407984214 | David Douglas Fabre | Dentist | 2111 59th St W, Bradenton, FL 34209-7015 | 2007-03-01 |
| 1003953654 | David D. Fabre, Dds, Ms, Pa | Dentist | 2111 59th St W, Bradenton, FL 34209-7015 | 2007-01-31 |
| 1053460667 | Adam Peter Strimer | Dentist | 2111 59th St W, Bradenton, FL 34209-7015 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1154935799 | Orbit Dental Management Pa | Dentist | 1453 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1968 | 2020-09-01 |
| 1790397370 | Bruce D. Schulman, Dds Pa | Dentist | 10150 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3776 | 2020-08-17 |
| 1770117525 | Volusia Endodontics Pa | Dentist | 2751 Enterprise Rd Ste 211, Orange City, FL 32763-8262 | 2020-03-02 |
| 1417587130 | Advanced Endodontics of Winter Park, Pa | Dentist | 400 W Morse Blvd Ste 102, Winter Park, FL 32789-4259 | 2020-01-22 |
| 1699326603 | North Central Florida Endodontics,pllc | Dentist | 48 Se 16th Ave, Ocala, FL 34471-2521 | 2019-09-23 |
| 1396395919 | Stephen L. Goldfaden, Dds,pa | Dentist | 1905 Nw 13th St Ste 2, Gainesville, FL 32609-3414 | 2019-09-16 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1437707197 | John Zachary Reynolds | Dentist | 3180 Redeemer Way, New Port Richey, FL 34655-4245 | 2019-08-27 |
| 1497307987 | Bradley Sleeth | Dentist | 942 Goldridge Ct, Orange Park, FL 32065-6259 | 2019-07-15 |
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| 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.