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NPI Code Detail

MEDICARE: DAVID LEONID GARDER M.S.

MEDICARE: DAVID LEONID GARDER M.S.
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1205063989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LEONID GARDER M.S.
Provider Business Mailing Address
First Line : 1672 OXFORD ST
Second Line : 12A
City : BERKELEY
State : CA
Zip : 94709-1642
Country : US
Telephone Number : 845-405-1603
Fax Number :
Provider Business Practice Location Address
First Line : 2701 N ROCKY POINT DR
Second Line : SUITE 650
City : TAMPA
State : FL
Zip : 33607-5917
Country : US
Telephone Number : 845-405-1603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2009
Last Update Date : 06/19/2009

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Directions to “ DAVID LEONID GARDER M.S.” Practice Location

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