Organization Active NPI

Antonio L. Gabarda MD PA

  • Hematology & Oncology Physician
  • Port Charlotte, FL
National Provider Identifier
1699931436
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME45099 Issued in FL
Legal business name
ANTONIO L. GABARDA MD PA
Practice address
2525 Harbor Blvd Ste 205
Port Charlotte, FL 33952-5342
Phone
(941) 629-4660
Fax
(941) 629-7586
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Dr. Antonio Labitag Gabarda
Title
President
Phone
(941) 629-4660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X ME45099 FL Primary

Addresses

Primary practice location

2525 Harbor Blvd Ste 205
Port Charlotte, FL 33952-5342

Mailing address

2525 Harbor Blvd Ste 205
Port Charlotte, FL 33952-5342
Phone (941) 629-4660

Other identifiers 1

IdentifierTypeStateIssuer
040662700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1699931436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD STE 205",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525342",
            "telephone_number": "941-629-4660",
            "fax_number": "941-629-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD STE 205",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525342",
            "telephone_number": "941-629-4660",
            "fax_number": "941-629-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO L. GABARDA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "GABARDA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "LABITAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-629-4660",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME45099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040662700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.