MEDICARE: RONBARDO GAY

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	103K00000X	Behavior Analyst
2	171M00000X	Case Manager/Care Coordinator
3	101YM0800X	Mental Health Counselor	MH 12325	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	:	1962793406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONBARDO GAY

Provider Business Mailing Address
First Line	:	10300 SW 216 STREET
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33190-1003
Country	:	US
Telephone Number	:	305-253-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	8785 SW 165TH AVE STE 103
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-5827
Country	:	US
Telephone Number	:	786-206-6500
Fax Number	:

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

Provider Enumeration Date	:	05/02/2011
Last Update Date	:	03/29/2018

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Directions to “ RONBARDO GAY ” Practice Location

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