Kristy Shinean Gamble-Hart | Orlando, FL • PECOS Search

Kristy Shinean Gamble-Hart

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1414 Kuhl Ave, Orlando, FL 32806-2008

(321) 843-7420 (999) 999-9999

PECOS Enrollment

Based on the most recent information from CMS, provider Kristy Shinean Gamble-Hart does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1063047850
Provider Type
Individual
Full Name
Gamble-Hart, Kristy Shinean
Title
Mrs.
Credential
APRN, FNP-BC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/11/2020
Last Updated
6/12/2020

Contact Information

Practice Location

1414 Kuhl Ave, Orlando, FL 32806-2008

Unlisted Fax

Mailing Location

PO Box 568121, Orlando, FL 32856-8121

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11002129 Florida