Healthcare Provider Details

I. General information

NPI: 1063941367
Provider Name (Legal Business Name): KARINA LYNN GASS DPT, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 01/14/2025
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 BILTMORE WAY STE 101
CORAL GABLES FL
33134-5724
US

IV. Provider business mailing address

5210 SW 128TH CT
MIAMI FL
33175-5442
US

V. Phone/Fax

Practice location:
  • Phone: 305-393-8810
  • Fax: 305-393-8811
Mailing address:
  • Phone: 786-348-1948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9114827
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT32592
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: