Individual
RALPH GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5500 MILITARY TRL # 22-310, JUPITER, FL 33458-2869
(561) 249-2958
(561) 249-2976
Mailing address
5500 MILITARY TRL # 22-310, JUPITER, FL 33458-2869
(561) 249-2958
(561) 249-2976
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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