Healthcare Provider Details

I. General information

NPI: 1255249447
Provider Name (Legal Business Name): GABRIEL CUMERMA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 N NEW YORK AVE
WINTER PARK FL
32789-3117
US

IV. Provider business mailing address

1105 MINNESOTA AVE
WINTER PARK FL
32789-4930
US

V. Phone/Fax

Practice location:
  • Phone: 140-759-9370
  • Fax:
Mailing address:
  • Phone: 772-971-2925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT45318
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: