Healthcare Provider Details

I. General information

NPI: 1548190424
Provider Name (Legal Business Name): GABRIELA MAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 EVEREST LN # 113
SAINT JOHNS FL
32259-4062
US

IV. Provider business mailing address

220 SILVER REEF LN
SAINT AUGUSTINE FL
32095-7591
US

V. Phone/Fax

Practice location:
  • Phone: 904-994-8229
  • Fax:
Mailing address:
  • Phone: 904-422-9018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number106113
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: