Individual
MS. LAINI RAE GAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1617 TAMIAMI TRL, PORT CHARLOTTE, FL 33948-1040
(941) 613-2400
(941) 613-2401
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7172
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME116280
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K2160
GROUP PTAN
FL
Enumeration date
04/13/2009
Last updated
05/13/2019
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