Doctor Name: | MRS. ROBYN M. GARDNER |
NPI Number: | 1265407217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 004155 |
Business Practice Address: | 400 Celebration Pl Suite A140 Celebration, FL - 347474970 |
Business Phone Number: | 4073034602 |
Business Fax Number: | |
Mailing Address: | 400 Celebration Pl, Suite A140 CELEBRATION |
State: | FL |
Postal Code: | 347474970 |
Phone Number: | 4073034602 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2006 |
NPI Last Update Date: | 12/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 004155 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |