Individual
DR. ANDREW WILLIAM GAMENTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1890 LPGA BLVD, SUITE 250, DAYTONA BEACH, FL 32117-7130
(386) 274-0250
(386) 274-0269
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1613
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
002794
GA
Other
Enumeration date
08/29/2007
Last updated
08/13/2014
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