Healthcare Provider Details

I. General information

NPI: 1598694465
Provider Name (Legal Business Name): NESTOR GAMEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1548 SE CHERRY DR
ARCADIA FL
34266-7444
US

IV. Provider business mailing address

1548 SE CHERRY DR
ARCADIA FL
34266-7444
US

V. Phone/Fax

Practice location:
  • Phone: 863-990-8798
  • Fax:
Mailing address:
  • Phone: 863-990-8798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9544081
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: