Healthcare Provider Details

I. General information

NPI: 1407793466
Provider Name (Legal Business Name): GABRIEL FELIPE TOSTA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 KINGSLEY AVE.
ORANGE PARK FL
32073
US

IV. Provider business mailing address

STREET BOA ESPERANCA, NUMBER 104 APARTMENT 303
SANTA CRUZ DO SUL RIO GRANDE DO SUL
96815630
BR

V. Phone/Fax

Practice location:
  • Phone: 904-639-2009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: