Robert D Gaynor (NPI# 1205883691, PAC ID# 6901948405) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1205883691 |
PAC ID by PECOS | 6901948405 |
Professional Enrollment ID | I20100121000603 |
Full Name | Robert D Gaynor |
Address |
10 Grove Ave W Suite 108 Lake Wales FL 33853-4516 |
Phone Number | 4073255227 |
Gender | M |
Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1987 |
Primary Specialty | GENERAL PRACTICE |
Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100007 | FLORIDA HOSPITAL |
Address | Phone | Organization |
---|---|---|
10 Grove Ave W, Suite 108, Lake Wales, FL 33853-4516 | 4073255227 | |
10 Grove Ave W, Lake Wales, FL 33853-4516 | 4073255227 |
Street Address |
10 GROVE AVE W SUITE 108 |
City | LAKE WALES |
State | FL |
Zip | 33853-4516 |
Name | Specialty | Organization | Address |
---|---|---|---|
Georgianna W Sorensen | Nurse Practitioner | 237 E Park Ave, Lake Wales, FL 33853-3705 | |
Boris D Nunez | Cardiovascular Disease (cardiology) | 320 Sr 60, Lake Wales, FL 33853-3750 | |
Gilberto A Lozano | Internal Medicine | 320 State Rd 60, Suite 301, Lake Wales, FL 33853-3750 | |
Dominiqua Lint | Nurse Practitioner | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
Beatrice Aime Celian | General Practice | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
Tiffany L Garner | Nurse Practitioner | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
Robert D Bazley | Obstetrics/gynecology | Florida Department of Health | 835 W Central Ave, Lake Wales, FL 33853-4024 |
Leonilo V Trono | Physical Therapy | Core Rehabilitation Inc | 61 W Central Ave, Lake Wales, FL 33853-4113 |
Kenneth Neigut | Diagnostic Radiology | Central Florida Cancer Institute Pa | 22 State Rd 60, Lake Wales, FL 33853-4118 |
Bade Akintan | Urology | Central Florida Cancer Institute Pa | 22 State Rd 60, Lake Wales, FL 33853-4118 |
Find all physicians in zip 33853 |
City | LAKE WALES |
Zip Code | 33853 |
Specialty | GENERAL PRACTICE |
City + Specialty | LAKE WALES + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Robert D Gaynor.
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.