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
Fax: (239) 772-7855
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487858973 NPPES
Florida MEDICAID 003735400

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