Individual
MARY ANN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
410 CELEBRATION PL, STE 300, CELEBRATION, FL 34747-5433
(321) 939-3300
(321) 939-3303
Mailing address
410 CELEBRATION PL, STE 300, CELEBRATION, FL 34747-5433
(321) 939-3300
(321) 939-3303
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME 102236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y007499NH01
ANTHEM BCBS
NH
05
—
30204589
—
NH
01
—
417360099
MAINECARE
ME
01
—
4583146
AETNA
NH
01
—
8066149
CIGNA HEALTHCARE OF NH
NH
01
—
P00160736
RAILROAD MEDICARE
NH
Enumeration date
11/05/2005
Last updated
01/05/2010
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