Individual provider Active NPI

Faithlore P. Gardner, MD

  • Medical Oncology Physician
  • Cape Coral, FL
National Provider Identifier
1487858973
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME110181 Issued in FL
Practice address
1030 Commerce Creek Blvd
Cape Coral, FL 33909-6529
Phone
(239) 997-3081
Fax
(844) 862-7077
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X ME110181 FL
Medical Oncology Physician 207RX0202X ME110181 FL Primary

Addresses

Primary practice location

1030 Commerce Creek Blvd
Cape Coral, FL 33909-6529

Mailing address

PO Box 102222
Attn: Credentialing
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

1708 Cape Coral Pkwy W Ste 10
Cape Coral, FL 33914-6985
Phone (239) 541-4633

Other identifiers 1

IdentifierTypeStateIssuer
003735400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110803000686 FL Practitioner - Hematology/Oncology 5395924013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of South Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1708 Cape Coral Pkwy West
10 Florida Cancer Specialists PL
Cape Coral, FL 33914-6985
Phone (239) 541-4633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME110181FLMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Aug 1, 2014 Accepting new patients
Clarksville Physician Services, LLC Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology Past Accepting new patients
Tennessee Heart and Lung Institute PLC Past Accepting new patients

Locations

1708 Cape Coral Pkwy W
Ste 10
Cape Coral, FL 33914
Phone (239) 541-4633

811 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 360-2634

1030 Commerce Creek Blvd
Cape Coral, FL 33909
Phone (239) 997-3081

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1487858973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "address_2": "ATTN: CREDENTIALING",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COMMERCE CREEK BLVD",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339096529",
            "telephone_number": "239-997-3081",
            "fax_number": "844-862-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Cape Coral Pkwy W Ste 10",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339146985",
            "country_code": "US",
            "telephone_number": "239-541-4633",
            "fax_number": "866-504-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "FAITHLORE",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME110181",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME110181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003735400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.