MEDICARE: IN GAMBA HELP LLC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1871373845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN GAMBA HELP LLC

Provider Business Mailing Address
First Line	:	5901 NW 183RD ST STE 146
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-6007
Country	:	US
Telephone Number	:	305-834-5649
Fax Number	:

Provider Business Practice Location Address
First Line	:	5901 NW 183RD ST STE 146
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-6007
Country	:	US
Telephone Number	:	305-834-5649
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. JOSE EDUARDO GAMBA
Credential	:
Telephone Number	:	305-834-5649

Provider Enumeration Date	:	10/05/2023
Last Update Date	:	10/05/2023

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Directions to “IN GAMBA HELP LLC ” Practice Location

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