Individual
MR. GARY E CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1008 PARK AVE STE A, ORANGE PARK, FL 32073-4112
(904) 264-9293
(904) 390-7492
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00773426
RR MEDICARE
FL
Enumeration date
03/27/2007
Last updated
04/01/2025
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