Paul Peder Gardner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9818 Issued in FL

Practice address

5425 South Semoran Boulevard
Suite 6a
Orlando, FL 32822-1777

Phone

(407) 482-0052

Fax

(407) 482-0198

NPI assigned

Dec 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/504966/r4

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.

• Sunshine State Medical Inc

  • Multi-Specialty Clinic/Center
  • Orlando, FL
  • NPI 1598063935

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1558690487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 SOUTH SEMORAN BOULEVARD",
            "address_2": "SUITE 6A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221777",
            "telephone_number": "407-482-0052",
            "fax_number": "407-482-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 SOUTH SEMORAN BOULEVARD",
            "address_2": "SUITE 6A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221777",
            "telephone_number": "407-482-0052",
            "fax_number": "407-482-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "PAUL",
        "middle_name": "PEDER",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent F Gardner, MD
• Carol C Gardner, MD
• Devannah Victoria Gardner, APRN
• Jazmin Stephanie Gardner, DOULA
• Jon Paul Gardner
• Ruth Gardner
• Maria Dulce Garduque
• Nia Garfinkel
• Nishtha Garg, PHYSICIAN ASSISTANT
• Samantha Garguilo, PA

• Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.