GABRIEL JAIME HENAO

GAINESVILLE, FL
NPI1174229868
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence: FL  POR189)
Additional Taxonomies222Z00000X 
(Licence: FL  ORT290)
Enumeration Date2023-02-03
Last Update Date2023-06-29
Business Address
GABRIEL JAIME HENAO CPO
1601 SW ARCHER RD
GAINESVILLE, FL 32608-1135
Phone number: 352-548-6000
Mailing Address
GABRIEL JAIME HENAO CPO
2143 SW 246TH DR
NEWBERRY, FL 32669-5066
Phone number:
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