Maria Elen P Gajo MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME60286 Issued in FL

Legal business name

MARIA ELEN P GAJO MD PA

Doing business as

M ELEN P GAJO MD PA

Practice address

68 Beal Pkwy SW
Fort Walton Beach, FL 32548-5331

Phone

(850) 243-7035

Fax

(850) 243-8529

NPI assigned

Dec 6, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maria Elen P Gajo, MD

Title

Sole Proprietorship Operations

Phone

(850) 243-7035

Specialties & licenses 1

Addresses

Other names 1

• M ELEN P GAJO MD PA Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1407191158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 BEAL PKWY SW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485331",
            "telephone_number": "850-243-7035",
            "fax_number": "850-243-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 BEAL PKWY SW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485331",
            "telephone_number": "850-243-7035",
            "fax_number": "850-243-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA ELEN P GAJO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "GAJO",
        "authorized_official_first_name": "MARIA ELEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOLE PROPRIETORSHIP OPERATIONS",
        "authorized_official_telephone_number": "850-243-7035",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME60286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M ELEN P GAJO MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irvin Randolph Manning, MD
• Selina Therese Mantanona, PT, DPT
• Rose Ann Quilang Maquinad, BSN,RN
• Mar-Walt Drive Emergency Physicians, LLC
• Maranatha Transportation Services
• Marianne C.McAuliffe,LCSW,PL
• Marianne L McCain PH D P a
• Chelsea Marien, PSY.D.
• Amanda Josefina Marin, COTA
• Gregory Joseph Marino, PHARMD

• Psychiatry Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.