Individual
MICHAEL DAVID GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3638 MADACA LANE, TAMPA, FL 33618
(813) 968-6610
(813) 264-1669
Mailing address
4033 TAMPA RD STE 101, OLDSMAR, FL 34677-3224
(813) 854-2003
(813) 436-5378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME40882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043829404
—
FL
Enumeration date
07/14/2006
Last updated
06/23/2021
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