Glenn Earl Gaborko Jr., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2637 Issued in FL

Practice address

University of Central Florida Student Health Services
Building 127
Orlando, FL 32816-0001

Phone

(407) 823-1616

Fax

(407) 823-1611

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497819577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 WESTBOURNE DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655159",
            "telephone_number": "407-687-4577",
            "fax_number": "407-823-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CENTRAL FLORIDA STUDENT HEALTH SERVICES",
            "address_2": "BUILDING 127",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328160001",
            "telephone_number": "407-823-1616",
            "fax_number": "407-823-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABORKO",
        "first_name": "GLENN",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "2637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Gabanic
• Diane Gonzalez Gabasan, RPH
• Elizabeth Rowe Gable, CRNA
• Heather Marie Gable, PA-C
• Rachel Gablick, CLC, DOULA
• Mallory Gabriel, LMHC
• Marie Cosette Gabriel, DO
• Sherlyne Gabriel
• Angelika Augusta Gabrielski, ARNP
• Gaby Music Therapy LLC

• Medical Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.