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Individual

DR. CHARLES HENRY GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
418 94TH AVE N, ST PETERSBURG, FL 33702-2522
(727) 577-0988
(727) 576-7994
Mailing address
418 94TH AVE N, ST PETERSBURG, FL 33702-2522
(727) 577-0988
(727) 576-7994

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3635
FL

Other

Enumeration date
03/01/2007
Last updated
03/21/2012
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