Individual
DR. FRED E GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2430 JENKS AVE, PANAMA CITY, FL 32405-4304
(850) 763-7244
(850) 763-0157
Mailing address
2430 JENKS AVE, PANAMA CITY, FL 32405-4304
(850) 763-7244
(850) 763-0157
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 2793
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300456200
—
FL
01
—
480027828
MEDICARE RAILROAD
FL
Enumeration date
07/05/2006
Last updated
02/06/2008
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