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Gaynor Medical Practice
General Practice Physician in Lake Wales, Florida
NPI 1902210172

Gaynor Medical Practice is a General Practice Physician based in Orlando, FL. Gaynor Medical Practice practices in Lake Wales, FL. The NPI Number for Gaynor Medical Practice is 1902210172 and holds a License No. (Florida).

The current practice location address for Gaynor Medical Practice is 10 W Grove Ave, Lake Wales, FL and can be reached out via phone at 407-325-5227.

Location: 10 W Grove Ave, Lake Wales, FL, 32836-5521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902210172
Provider Name
Gaynor Medical Practice
Credential
Provider Entity Type
Organization
Address
10 W Grove Ave, Lake Wales, FL, 32836-5521
Phone Number
407-325-5227
Fax Number
Provider Enumeration Date
06/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 W Grove Ave
City
Lake Wales
State
Florida
Zip
33853-4516
Phone Number
407-325-5227
Fax Number
person
Provider Business Mailing Address Details
Address
10 W Grove Ave
City
Lake Wales
State
Florida
Zip
33853-4516
Phone Number
407-325-5227
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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