Individual
MADISON W GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
832 W CENTRAL BLVD, ORLANDO, FL 32805-1809
(407) 836-2619
Mailing address
832 W CENTRAL BLVD, ORLANDO, FL 32805-1809
(407) 836-2619
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ACN136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379356700
—
FL
Enumeration date
07/19/2006
Last updated
12/19/2012
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