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Individual

DR. BILLY FRANKLIN GARDNER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 HEALTH PARK BLVD STE 1, ST AUGUSTINE, FL 32086-5798
(904) 819-4400
(904) 819-4472
Mailing address
120 HEALTH PARK BLVD STE 1, ST AUGUSTINE, FL 32086-5798
(904) 819-4400
(904) 819-4472

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
030463
GA
207Q00000X
Family Medicine Physician
Primary
ME125043
FL

Other

Enumeration date
11/16/2006
Last updated
01/12/2018
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