# GARDNER MEDICAL SURGICAL CONSULTANTS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538340039
- **Authorized official:** MR. WAYNE M. GARDNER PA-C (REGISTERED AGENT)
- **Authorized official phone:** (407) 733-5464

## Contact information

- **Practice address:** 3844 BRANTLEY PLACE CIR, APOPKA, FL 32703-6854
- **Practice address phone:** (407) 733-5464
- **Mailing address:** 3844 BRANTLEY PLACE CIR, APOPKA, FL 32703-6854
- **Mailing address phone:** (407) 733-5464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA3289 | FL | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 03/03/2009