Individual
BYRON CHARLES GAARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13685 DOCTORS WAY STE 350, FORT MYERS, FL 33912-4347
(239) 343-3800
(239) 343-3993
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3800
(239) 343-4261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109296
FL
363AS0400X
Surgical Physician Assistant
PA9109296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119971700
—
FL
Enumeration date
02/12/2016
Last updated
03/20/2024
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