Individual
ROBERT M GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3281 FAIRLANE FARMS RD STE 4, WELLINGTON, FL 33414-6503
(877) 405-3668
(561) 721-7070
Mailing address
3281 FAIRLANE FARMS RD STE 4, WELLINGTON, FL 33414-6503
(877) 405-3668
(561) 721-7070
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029761501
—
FL
01
—
480008476
RAILROAD MEDICARE
FL
01
—
65075
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/29/2006
Last updated
06/05/2024
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