Lawrence W Gardner Jr. (NPI# 1972653632, PAC ID# 4688850308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1972653632 |
| PAC ID by PECOS | 4688850308 |
| Professional Enrollment ID | I20110513000573 |
| Full Name | Lawrence W Gardner Jr. |
| Address |
708 Del Prado Blvd Suite 5 Cape Coral FL 33990-2676 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1974 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GASTROENTEROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100244 | CAPE CORAL HOSPITAL - 100244 |
| 100012 | LEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 708 Del Prado Blvd, Suite 5, Cape Coral, FL 33990-2676 |
| Street Address |
708 DEL PRADO BLVD SUITE 5 |
| City | CAPE CORAL |
| State | FL |
| Zip | 33990-2676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois M Harriman | Nurse Practitioner | Saluscare, Inc | 1105 Cultural Park Blvd, Cape Coral, FL 33990-1217 |
| Sarajane Johnson | Nurse Practitioner | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Nicola Mckellop | Nurse Practitioner | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Kimberly A Burgess | Physician Assistant | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Carole Mclane | General Practice | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Khoa Dang Nguyen | Podiatry | Family Foot and Leg Center Pa | 530 Se 16th Pl, Suite A, Cape Coral, FL 33990-1656 |
| Edward Frank Drass | Family Medicine | 530 Se 16th Place, Suite B, Cape Coral, FL 33990-1656 | |
| Jose F Perez | Internal Medicine | 602 Se 16th Pl, Cape Coral, FL 33990-1684 | |
| Ariel Figueredo | Obstetrics/gynecology | 602 Se16th Pl, Cape Coral, FL 33990-1684 | |
| Larry Dean Johnson | Chiropractic | 1510 Hancock Bridge Pkwy, Suite 6, Cape Coral, FL 33990-1715 | |
| Find all physicians in zip 33990 | |||
| City | CAPE CORAL |
| Zip Code | 33990 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CAPE CORAL + INTERNAL MEDICINE |
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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.