Mark R. Gardner (NPI# 1306827167, PAC ID# 4183811250) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1306827167 |
| PAC ID by PECOS | 4183811250 |
| Professional Enrollment ID | I20101215000627 |
| Full Name | Mark R. Gardner |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF THE PALM BEACHES PLLC |
| Address |
1830 N Dixie Hwy West Palm Beach FL 33407-6504 |
| Phone Number | 5616591510 |
| Gender | M |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 1990 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6709861602 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 120 Butler St A, West Palm Beach, FL 33407-6107 | 5616591510 | DERMATOLOGY ASSOCIATES OF THE PALM BEACHES PLLC |
| 1830 N Dixie Hwy, West Palm Beach, FL 33407-6504 | 5616591510 | DERMATOLOGY ASSOCIATES OF THE PALM BEACHES PLLC |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF THE PALM BEACHES PLLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen M Dunsworth | Dermatology | Dermatology Associates of The Palm Beaches Pllc | 10111 W Forest Hill Blvd, Suite 100, Wellington, FL 33414-6141 |
| Howard A Green | Dermatology | Dermatology Associates of The Palm Beaches Pllc | 10355 A N Military Trail, Palm Beach Gardens, FL 33410-4623 |
| Richard A Krathen | Dermatology | Dermatology Associates of The Palm Beaches Pllc | 120 Butler St A, West Palm Beach, FL 33407-6107 |
| Lindsey A Walsh | Physician Assistant | Dermatology Associates of The Palm Beaches Pllc | 120 Butler St A, West Palm Beach, FL 33407-6107 |
| Mary Jean Deguzman | Pathology | Dermatology Associates of The Palm Beaches Pllc | 120 Butler St A, West Palm Beach, FL 33407-6107 |
| Brittany P Smirnov | Dermatology | Dermatology Associates of The Palm Beaches Pllc | 120 Butler St A, West Palm Beach, FL 33407-6107 |
| Brett S Dock | Dermatology | Dermatology Associates of The Palm Beaches Pllc | 120 Butler St A, West Palm Beach, FL 33407-6107 |
| Liza M Brown | Dermatology | Dermatology Associates of The Palm Beaches Pllc | 120 Butler St A, West Palm Beach, FL 33407-6107 |
| Karen A Ostrowski | Nurse Practitioner | Dermatology Associates of The Palm Beaches Pllc | 120 Butler St A, West Palm Beach, FL 33407-6107 |
| Cristina Lampuri | Dermatology | Dermatology Associates of The Palm Beaches Pllc | 120 Butler St A, West Palm Beach, FL 33407-6107 |
| Street Address |
1830 N DIXIE HWY |
| City | WEST PALM BEACH |
| State | FL |
| Zip | 33407-6504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harvey J Penziner | Dermatology | Dermatology Associates of The Palm Beaches Pllc | 1830 N Dixie Hwy, West Palm Beach, FL 33407-6504 |
| Julian John Goodman | Dermatology | Dermatology Associates of The Palm Beaches Pllc | 1830 N Dixie Hwy, West Palm Beach, FL 33407-6504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane P Clarke | Internal Medicine | 801 Northpoint Pkwy, Suite 83, West Palm Beach, FL 33407-1812 | |
| Rodney L Scherle | Optometry | South Florida Eye Pa | 4295 45th St, West Palm Beach, FL 33407-1859 |
| Enhui Ko | Optometry | South Florida Eye Pa | 4295 45th St, West Palm Beach, FL 33407-1859 |
| Kelly M Vangilder | Obstetrics/gynecology | Florida Woman Care LLC | 770 Northpoint Pkwy, West Palm Beach, FL 33407-1901 |
| Peter Sherman | Obstetrics/gynecology | Florida Woman Care LLC | 770 Northpoint Pkwy, Suite 200, West Palm Beach, FL 33407-1901 |
| Amy N Banooni | Obstetrics/gynecology | Florida Woman Care LLC | 770 Northpoint Pkwy, West Palm Beach, FL 33407-1901 |
| Heather L Sullivan | Nurse Practitioner | Florida Woman Care LLC | 770 Northpoint Pkwy, West Palm Beach, FL 33407-1901 |
| Cecile A Walker | Obstetrics/gynecology | Florida Woman Care LLC | 770 Northpoint Pkwy, West Palm Beach, FL 33407-1901 |
| David K Choi | Obstetrics/gynecology | Florida Woman Care LLC | 770 Northpoint Pkwy, Suite 200, West Palm Beach, FL 33407-1901 |
| John W Caravello | Obstetrics/gynecology | Florida Woman Care LLC | 770 Northpoint Pkwy, West Palm Beach, FL 33407-1901 |
| Find all physicians in zip 33407 | |||
| City | WEST PALM BEACH |
| Zip Code | 33407 |
| Specialty | DERMATOLOGY |
| City + Specialty | WEST PALM BEACH + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.