Gardner, Catherine L

Gardner, Catherine L is an individual health care provider with primary practice located at 1350 S Hickory St Holmes Regional Medical Center, Melbourne FL 32901-3224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Gardner, Catherine L can be contacted via phone (321) 434-7313.

Contact Information

Primary practice address
1350 S Hickory St Holmes Regional Medical Center Melbourne FL 32901-3224
Phone: (321) 434-7313
Fax: (321) 434-7238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME67788 Florida

Profile Details

NPI number 1144288952
LBN Legal business name Gardner, Catherine L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jun 22nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144288952 NPPES
Florida MEDICAID 270275400

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