Individual
DR. MARY S GARDNER
Active
Individual
DR. MARY S GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
ME59197
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME59197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053313100
—
FL
01
—
12131
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/24/2005
Last updated
06/10/2026
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