Individual
DR. GARY JOSEPH HARDOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1810 ELDRON BLVD SE, PALM BAY, FL 32909-6831
(321) 312-3466
(321) 409-6811
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 312-3466
(321) 409-6811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME122790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PU936
MEDICARE HF
FL
Enumeration date
03/22/2012
Last updated
10/28/2022
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