Organization
GARDNER MEDICAL SURGICAL CONSULTANTS INC
Active
Organization
GARDNER MEDICAL SURGICAL CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE M. GARDNER PA-C (REGISTERED AGENT)
(407) 733-5464
Entity
Organization
Contact information
Practice address
3844 BRANTLEY PLACE CIR, APOPKA, FL 32703-6854
(407) 733-5464
Mailing address
3844 BRANTLEY PLACE CIR, APOPKA, FL 32703-6854
(407) 733-5464
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3289
FL
Other
Enumeration date
11/26/2007
Last updated
03/03/2009
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