Individual
STEVEN EDWARD GARDEAZABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 639-8500
Mailing address
12281 AUTUMNBROOK TRL E, JACKSONVILLE, FL 32258-2389
(904) 982-3703
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
100160957
FL
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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