Gaynor Medical Practice

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GAYNOR MEDICAL PRACTICE

Practice address

10 W Grove Ave
Suite 108
Lake Wales, FL 33853-4516

Phone

(407) 325-5227

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Robert Gaynor, D.O.NPI 1205883691

Title

Owner

Phone

(407) 325-5227

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.

• Robert Dean Gaynor, DO

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1205883691
  NPD (past) Authorized official

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1902210172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9483 WICKHAM WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365521",
            "telephone_number": "407-325-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W GROVE AVE",
            "address_2": "SUITE 108",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534516",
            "telephone_number": "407-325-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYNOR MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "GAYNOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-325-5227",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn D Frontera Vargas, D.C
• Letitia T Fry, LDO
• Briana Fullington, LMHC
• Sebastian Gallego, MD
• Pola Gayed, DPT, PT
• Brianna Geer
• Elishann Geiger, SLP
• Michael Yadiel Gelpi Rosario, APRN
• Sherly P Geonzon, RPT
• Georgianna Walker Sorensen PHD PLC

• General Practice Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.