Gardner, Gayle
Gardner, Gayle is an sole proprietor health care provider with primary practice located at 5105 Porter Rd , St Augustine FL 32095-6247. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Gardner, Gayle can be contacted via phone (904) 825-4876.Contact Information
Primary practice address
5105 Porter Rd
St Augustine FL 32095-6247
Phone: (904) 825-4876
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X |
Profile Details
| NPI number | 1437483534 |
|---|---|
| LBN Legal business name | Gardner, Gayle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2009 |
| Last updated | Sep 23rd, 2009 - about 16 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 | 1437483534 | NPPES |
| Florida | MEDICAID | 230641700 |
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