Gardner, Mark Robert

Gardner, Mark Robert is an individual health care provider with primary practice located at 13005 Southern Blvd Medical Mall 1 Suite 122, Loxahatchee FL 33470-9206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gardner, Mark Robert can be contacted via phone (561) 798-1649.

Contact Information

Primary practice address
13005 Southern Blvd Medical Mall 1 Suite 122 Loxahatchee FL 33470-9206
Fax: (561) 791-8631

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0068374 Florida

Profile Details

NPI number 1306827167
LBN Legal business name Gardner, Mark Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Aug 18th, 2010 - 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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