Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Feraudo

Individual provider Mechanotherapist · NPI 1598166472

Gary Feraudo is a Mechanotherapist in Lake City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014
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Practice location Address checks out

323 S Marion Ave Knox Ave
Lake City, FL 32025-7065
Phone: (386) 867-0000
Fax: (386) 755-3625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mechanotherapist (primary) Taxonomy 172M00000X · Licence MA69439 (FL)

Record details

NPI number1598166472
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 10, 2014
Last updated in NPPESSeptember 10, 2014
Mailing address323 S Marion Ave, Knox Ave, Lake City, FL 32025-7065