Healthcare Provider Details

I. General information

NPI: 1003601667
Provider Name (Legal Business Name): HENY GISELA CABRERA PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 04/14/2025
Certification Date: 04/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2844 SE 6TH ST
OCALA FL
34471-2775
US

IV. Provider business mailing address

9 HEMLOCK LN
OCALA FL
34472-4269
US

V. Phone/Fax

Practice location:
  • Phone: 352-462-0889
  • Fax: 352-559-2364
Mailing address:
  • Phone: 786-368-6841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number29800
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: