MEDICARE: MRS. GABRIELA PELLOSMAA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility	6906033	FL

General Provider Information

NPI Number	:	1063581486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GABRIELA PELLOSMAA

Provider Business Mailing Address
First Line	:	102 RAE DR
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-6894
Country	:	US
Telephone Number	:	904-810-6874
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 RAE DR
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-6894
Country	:	US
Telephone Number	:	904-810-6874
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1013219419 — GOLDEN HOUSE ASSISTED LIVING INC.
Practice Location Address:

102 RAE DR
PALM COAST, FL
32164-6894

Practice Phone: 386-437-1122
Practice Fax:

1285140657 — GOLDEN AGE HOUSE ASSISTED LIVING LLC
Practice Location Address:

102 RAE DR
PALM COAST, FL
32164-6894

Practice Phone: 386-237-2026
Practice Fax: 386-237-2026

1215611967 — JESSICA ANN NGUYEN DMD
Practice Location Address:

3420 BAYSIDE LAKES BLVD SE
PALM BAY, FL
32909-6894

Practice Phone: 321-722-0155
Practice Fax:

1932035490 — NATALIE AREEJ MASRI DMD
Practice Location Address:

3420 BAYSIDE LAKES BLVD SE
PALM BAY, FL
32909-6894

Practice Phone: 321-515-4656
Practice Fax:

1023499431 — DR. COURTNEY SEVILLA DMD
Practice Location Address:

3420 BAYSIDE LAKES BLVD SE
PALM BAY, FL
32909-6894

Practice Phone: 321-722-0155
Practice Fax:

1831085935 — CAROLINE PRIDGEN PA-C
Practice Location Address:

1 MEMORIAL MEDICAL PKWY STE 200
PALM COAST, FL
32164-5979

Practice Phone: 386-586-1860
Practice Fax: 386-586-1861

Directions to “ MRS. GABRIELA PELLOSMAA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.