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Individual

DR. RONALD D GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3033 WINKLER AVE UNIT 100, FORT MYERS, FL 33916-9523
(239) 277-7070
(239) 277-7071
Mailing address
3033 WINKLER AVE UNIT 100, FORT MYERS, FL 33916-9523
(239) 277-7070
(239) 277-7071

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0056224
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063471900
FL
01
10225
BCBS
FL
01
200039786
RR MEDICARE
Enumeration date
05/23/2005
Last updated
11/29/2018
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