Mary S Gardner in Davenport - Radiation Oncology
Mary S Gardner - NPI 1508859703
Mary S Gardner is a Radiation Oncology in Davenport, Florida. Mary S Gardner practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Mary S Gardner is 1508859703. The last update date is 2012-12-17.
Mary S Gardner's current location address is 171 Webb Dr, Davenport, Florida. You can contact this provider via phone number 8634217276 and fax number 8634217109. The mailing address for Mary S Gardner is 171 Webb Dr, Davenport, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary S Gardner |
|---|---|
| Address | 171 Webb Dr, Davenport, Florida |
| Phone Number | 8634217276 |
| Fax Number | 8634217109 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508859703 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2012-12-17 |
Provider Mailing Address Detail
| Address | 171 Webb Dr |
|---|---|
| City | Davenport |
| State | Florida (FL) |
| Post Code | 338373944 |
| Phone Number | 8634217276 |
| Fax Number | 8634217109 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | ME59197 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12131 | FL | BLUE CROSS BLUE SHIELD | |
| 53313100 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary S Gardner by the Centers for Medicare & Medicaid Services (CMS)?
The Mary S Gardner has been assigned the NPI (National Provider Identifier) 1508859703. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Mary S Gardner located?
The Mary S Gardner is located at 171 Webb Dr, Davenport, FL 338373944.
What is Mary S Gardner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary S Gardner's specialized field of practice is Radiation Oncology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508859703 to Mary S Gardner?
The Centers for Medicare & Medicaid Services originally issued the 1508859703 to Mary S Gardner on 2005-08-24.
When was the information regarding Mary S Gardner most recently updated?
The details pertaining to the Mary S Gardner, including its address, specialty, and other relevant information, were last refreshed on 2012-12-17.