Organization · Type 2 NPI

Gaynor Medical Practice

General Practice Physician · Lake Wales, FL

NPI number 1902210172 Active

Practice location

10 W Grove Ave, Suite 108
Lake Wales, FL 33853-4516

Call (407) 325-5227 Map

Mailing address

9483 Wickham Way
Orlando, FL 32836-5521

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

9 other providers at this address

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About NPI 1902210172

Gaynor Medical Practice's National Provider Identifier is 1902210172, issued on Jun 16, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lake Wales, FL. The record was last updated on Jun 16, 2014.