Gardner Medical Surgical Consultants Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA3289 Issued in FL

Legal business name

GARDNER MEDICAL SURGICAL CONSULTANTS INC

Practice address

3844 Brantley Place Cir
Apopka, FL 32703-6854

Phone

(407) 733-5464

NPI assigned

Nov 26, 2007

Last updated

Mar 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wayne M. Gardner, PA-CNPI 1134127590

Title

Registered Agent

Phone

(407) 733-5464

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wayne M Gardner, P.A.

  • Surgical Physician Assistant
  • Apopka, FL
  • NPI 1134127590
  Authorized official Same address or phone

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1538340039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 BRANTLEY PLACE CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036854",
            "telephone_number": "407-733-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 BRANTLEY PLACE CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036854",
            "telephone_number": "407-733-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER MEDICAL SURGICAL CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "407-733-5464",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA3289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Liz Garcia, MSW
• Dalmi Garcia
• Elena Garcia, D.M.D
• Karen Garcia
• William Garcia
• Wayne M Gardner, P.A.
• Arianna Garner, RBT, ITDS
• Jennifer Gasparri, MA, LMFT
• Gastro Medic Care Corporation
• Gateway Health Services LLC

• Surgical Physician Assistant in Apopka, FL
• Providers in Apopka, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.