Gardner, Mary Ann

Gardner, Mary Ann is an individual health care provider with primary practice located at 410 Celebration Pl Ste 300, Celebration FL 34747-5433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Gardner, Mary Ann can be contacted via phone (321) 939-3300.

Contact Information

Primary practice address
410 Celebration Pl Ste 300 Celebration FL 34747-5433
Phone: (321) 939-3300
Fax: (321) 939-3303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME 102236 Florida

Profile Details

NPI number 1154312387
LBN Legal business name Gardner, Mary Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2005
Last updated Jan 5th, 2010 - about 15 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 1154312387 NPPES
New Hampshire Other 8066149 CIGNA HEALTHCARE OF NH
New Hampshire Other P00160736 CIGNA HEALTHCARE OF NH
New Hampshire Other 417360099 CIGNA HEALTHCARE OF NH
New Hampshire Other 01Y007499NH01 CIGNA HEALTHCARE OF NH
New Hampshire Other 4583146 CIGNA HEALTHCARE OF NH
New Hampshire MEDICAID 30204589 CIGNA HEALTHCARE OF NH

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