MEDICARE: ELIZABETH GAMEZ PARDO

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	363LF0000X	Family Nurse Practitioner	ARNP9358279	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104221597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH GAMEZ PARDO

Provider Business Mailing Address
First Line	:	2705 SW 142ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-8014
Country	:	US
Telephone Number	:	305-428-2710
Fax Number	:	305-676-6725

Provider Business Practice Location Address
First Line	:	2705 SW 142ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-8014
Country	:	US
Telephone Number	:	305-428-2710
Fax Number	:	305-676-6725

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

Provider Enumeration Date	:	10/28/2014
Last Update Date	:	01/08/2026

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