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NPI Code Detail

MEDICARE: DR. GABRIEL IVAN ESCALERA RODRIGUEZ DC

MEDICARE: DR. GABRIEL IVAN ESCALERA RODRIGUEZ DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH15926FL

General Provider Information

NPI Number : 1073443800
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GABRIEL IVAN ESCALERA RODRIGUEZ DC
Provider Business Mailing Address
First Line : 5 N FORSYTH RD
Second Line :
City : ORLANDO
State : FL
Zip : 32807-5009
Country : US
Telephone Number : 407-883-9458
Fax Number :
Provider Business Practice Location Address
First Line : 5 N FORSYTH RD
Second Line :
City : ORLANDO
State : FL
Zip : 32807-5009
Country : US
Telephone Number : 407-883-9458
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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