Individual provider · Type 1 NPI

Joshua Gardner

Student in an Organized Health Care Education/Training Program · Pace, FL

NPI number 1609342906 Active

Practice location

5409 Maranatha Way
Pace, FL 32571-9352

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609342906

Joshua Gardner's National Provider Identifier is 1609342906, issued on Oct 15, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pace, FL. The record was last updated on Oct 15, 2018.