MEDICARE: GARDNER MEDICAL SURGICAL CONSULTANTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	PA3289	FL

General Provider Information

NPI Number	:	1538340039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARDNER MEDICAL SURGICAL CONSULTANTS INC

Provider Business Mailing Address
First Line	:	3844 BRANTLEY PLACE CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-6854
Country	:	US
Telephone Number	:	407-733-5464
Fax Number	:

Provider Business Practice Location Address
First Line	:	3844 BRANTLEY PLACE CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-6854
Country	:	US
Telephone Number	:	407-733-5464
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED AGENT
Name	:	MR. WAYNE M. GARDNER
Credential	:	PA-C
Telephone Number	:	407-733-5464

Provider Enumeration Date	:	11/26/2007
Last Update Date	:	03/03/2009

Similar Medicare Providers

1134127590 — WAYNE M GARDNER P.A.
Practice Location Address:

3844 BRANTLEY PLACE CIR
APOPKA, FL
32703-6854

Practice Phone: 407-733-5464
Practice Fax:

1679423289 — MS. BRENNA JAIDE BONILLA
Practice Location Address:

514 S HUNT CLUB BLVD
APOPKA, FL
32703-4948

Practice Phone: 407-613-2335
Practice Fax:

1427263136 — DR. LYNDA BUTLER DDS
Practice Location Address:

2444 E SEMORAN BLVD
APOPKA, FL
32703-5805

Practice Phone: 407-801-6873
Practice Fax:

1871596734 — DR. JASON RYAN SPEIGEL D.M.D.
Practice Location Address:

209 E 7TH ST
APOPKA, FL
32703-5327

Practice Phone: 407-886-9569
Practice Fax: 407-886-9569

1174528236 — MR. RICHARD A. REAL MD
Practice Location Address:

225 E 7TH ST
APOPKA, FL
32703-5327

Practice Phone: 407-905-8827
Practice Fax: 407-886-4282

1548266422 — DRS ELIAS & OAKLEY PA
Practice Location Address:

63 E 3RD ST
APOPKA, FL
32703-4235

Practice Phone: 407-889-9800
Practice Fax: 407-889-8910

Directions to “GARDNER MEDICAL SURGICAL CONSULTANTS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.