Jaime Enrique Gazabon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN30524 Issued in FL

Practice address

787 W Lumsden Rd
Brandon, FL 33511-6261

Phone

(813) 684-7888

NPI assigned

Jun 17, 2025

Last updated

Jun 17, 2025By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1598651333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S BAY VILLA PL APT 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296261",
            "telephone_number": "813-843-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116261",
            "telephone_number": "813-684-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZABON",
        "first_name": "JAIME",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tess Alicia Gates, APRN
• Gregory Gatzke
• Christine Gaukel, M.S., C.C.C.
• Patricia Gavilan Valmaseda
• Veronica Lashawn Gaynor
• Linda Jean Geer, MS CCC SLP
• Sarah Geiger-Fessahaye, 106S00000X
• Carolyn Jean Gendreau, D.C.
• Lisa Gendron, PT
• Genesis Alf of Brandon, Inc

• Dentist in Brandon, FL
• Providers in Brandon, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.