Individual
MR. JAMES WILFRED GAIDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
900 EASTLAKE ST SE, PALM BAY, FL 32909-4559
(321) 984-0306
(321) 984-0306
Mailing address
900 EASTLAKE ST SE, PALM BAY, FL 32909-4559
(321) 984-0306
(321) 984-0306
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SW1798
FL
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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