Individual
GARY JOSEPH LAUBACKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7915 US 301 N STE 107, ELLENTON, FL 34222-3532
(941) 847-1101
(941) 417-2811
Mailing address
4401 CORTEZ RD W, BRADENTON, FL 34210-3142
(941) 357-5550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
076602
GA
207R00000X
Internal Medicine Physician
OS12565
FL
207R00000X
Internal Medicine Physician
Primary
OS17440
FL
Other
Enumeration date
06/27/2010
Last updated
08/28/2021
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