Individual
GARY C BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1996 KINGSLEY AVE, ORANGE PARK, FL 32073-4442
(904) 276-5700
(904) 272-1474
Mailing address
1996 KINGSLEY AVE, ORANGE PARK, FL 32073-4442
(904) 276-5700
(904) 272-1474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME-0069445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225324
AVMED ID NUMBER
FL
Enumeration date
09/06/2006
Last updated
09/24/2019
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