Individual ProviderBrenda Jo GambleRegistered NurseNursing Service ProvidersPractice Address13000 Bruce B Downs Blvd, James A Haley Veterans' Hospital-Unit 5west, Tampa, FL 33612-4745(813) 972-2000(813) 907-7151PECOS EnrollmentBased on the most recent information from CMS, provider Brenda Jo Gamble does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1760660732Provider TypeIndividualFull NameGamble, Brenda JoTitleMs.CredentialRNGenderFemaleSole ProprietorNoEnumeration Date2/1/2008Last Updated2/1/2008Contact InformationPractice LocationPractice Address13000 Bruce B Downs Blvd, James A Haley Veterans' Hospital-Unit 5west, Tampa, FL 33612-4745Phone(813) 972-2000FaxUnlisted FaxMailing LocationMailing Address17757 Esprit Dr, Tampa, FL 33647-2509Phone(813) 907-7151Fax(813) 907-7151Provider TaxonomiesCodeDescriptionLicenseCode163WC0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN 9215362FloridaCode163WC3500XDescriptionRegistered NurseNursing Service ProvidersLicenseR 131668-3Minnesota