Organization
DAN GARDNER INC
Active
Other names
GARDNER AUDIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL P GARDNER M.S. (PRESIDENT)
(352) 795-5377
Entity
Organization
Contact information
Practice address
700 SE 5TH TERR, SUITE 12, CRYSTAL RIVER, FL 34429-4877
(352) 795-5377
(352) 795-8663
Mailing address
700 SE 5TH TERR, SUITE 12, CRYSTAL RIVER, FL 34429-4877
(352) 795-5377
(352) 795-8663
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J0279
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
09/06/2006
Last updated
02/04/2011
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