GAYNOR MEDICAL PRACTICE NPI 1902210172

NPI Information

GAYNOR MEDICAL PRACTICE is a general practice in Lake Wales, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GAYNOR MEDICAL PRACTICE NPI is 1902210172. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10 W GROVE AVE
SUITE 108
LAKE WALES, FL
ZIP 33853-516
Phone: (407) 325-5227

The provider's authorized official is Robert Gaynor .
The authorized official title is Owner and has the following contact phone number (407) 325-5227.

The enumeration date for this NPI number is 6/16/2014 and was last updated on 6/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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