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

Sergio Javier Gardeazabal

Individual provider Family Nurse Practitioner · NPI 1003416561

Sergio Javier Gardeazabal is a Family Nurse Practitioner in Hialeah Gardens, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

11039 W Okeechobee Rd Unit 201
Hialeah Gardens, FL 33018-4256
Phone: (786) 630-5957
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11007982 (FL)

Record details

NPI number1003416561
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 26, 2020
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020
Mailing address11039 W Okeechobee Rd Unit 201, Hialeah Gardens, FL 33018-4256

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