Gardner, Faithlore P.
Gardner, Faithlore P. is an individual health care provider with primary practice located at 1030 Commerce Creek Blvd , Cape Coral FL 33909-6529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Gardner, Faithlore P. can be contacted via phone (239) 772-3544.Contact Information
Primary practice address
1030 Commerce Creek Blvd
Cape Coral FL 33909-6529
Phone: (239) 772-3544
Fax: (239) 772-7855
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ME110181 | Florida |
Profile Details
NPI number | 1487858973 |
---|---|
LBN Legal business name | Gardner, Faithlore P. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 11th, 2007 |
Last updated | May 3rd, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487858973 | NPPES |
Florida | MEDICAID | 003735400 |
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