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Individual

MR. DANIEL P GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., CCC-A

Contact information

Practice address
970 LAKE CARILLON DR, STE 300, ST PETERSBURG, FL 33716-1129
(727) 202-8924
(352) 795-8663
Mailing address
700 SE 5TH TER, STE 11, CRYSTAL RIVER, FL 34429-4878
(352) 795-5377
(352) 795-8663

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY477
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AY477
STATE LICENSE
FL
Enumeration date
06/27/2006
Last updated
05/07/2014
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