Healthcare Provider Details

I. General information

NPI: 1508859703
Provider Name (Legal Business Name): MARY S GARDNER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14055 RIVEREDGE DR STE 250
TAMPA FL
33637-2141
US

IV. Provider business mailing address

14055 RIVEREDGE DR STE 250
TAMPA FL
33637-2141
US

V. Phone/Fax

Practice location:
  • Phone: 813-929-5451
  • Fax:
Mailing address:
  • Phone: 813-929-5451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME59197
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME59197
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: