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Dr. Mary S Gardner, MD
Radiation Oncology Physician in Davenport, Florida
NPI 1508859703

Mary S Gardner is a Radiation Oncology Physician based in Winter Haven, FL and is specialized in Radiation Oncology. Mary S Gardner practices in Davenport, FL and has the professional credentials of MD. The NPI Number for Mary S Gardner is 1508859703 and holds a License No. ME59197 (Florida).

The current practice location address for Mary S Gardner is 171 Webb Dr, Davenport, FL and can be reached out via phone at 863-421-7276 and via fax at 863-421-7109.

Location: 171 Webb Dr, Davenport, FL, 33880-2910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508859703
Provider Name
Mary S Gardner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
171 Webb Dr, Davenport, FL, 33880-2910
Phone Number
863-421-7276
Fax Number
863-421-7109
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12131 01 FL BLUE CROSS BLUE SHIELD
053313100 05 FL
institution
Provider Business Practice Location Address Details
Address
171 Webb Dr
City
Davenport
State
Florida
Zip
33837-3944
Phone Number
863-421-7276
Fax Number
863-421-7109
person
Provider Business Mailing Address Details
Address
171 Webb Dr
City
Davenport
State
Florida
Zip
33837-3944
Phone Number
863-421-7276
Fax Number
863-421-7109
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
ME59197 (Florida)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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