Active NPI
Antonio L. Gabarda MD PA
- Hematology & Oncology Physician
- Port Charlotte, FL
National Provider Identifier
1699931436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- ME45099
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040662700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.