Lourdes Gambino

Primary specialty

HomemakerTaxonomy code 376J00000X

License

6906314 Issued in FL

Practice address

12036 Suave LN
Hudson, FL 34669-3329

Phone

(727) 856-9174

NPI assigned

Nov 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1417387325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12036 SUAVE LN",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346693329",
            "telephone_number": "727-856-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12036 SUAVE LN",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346693329",
            "telephone_number": "727-856-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "LOURDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "6906314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresh Water at Hudson Alf, LLC
• Donald Robert Fridley, DO
• G. M. Ramappa, M.D., F.a.a.P., P.a. (Kidz Care Pediatrics)
• Riqueza Yambao Galura Cua, MD
• Mathew F Gamba, PHARMD
• Roy Gan, MD
• Hannah Ganskop, LCSW
• Camelia Garcia, DO
• Jill Bona Garcia, MA, CCC/SLP
• Jorge A Garcia

• Homemaker in Hudson, FL
• Providers in Hudson, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.