Individual
DR. GARY DESINORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 KATHLEEN RD, LAKELAND, FL 33810-3077
(863) 687-1466
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4125
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO4125
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
02/11/2026
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