Henry Jerry Gardner, M.D. Valid NPI

Individual provider · Family Medicine Physician · The Villages, FL

NPI

1609899293

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

1504831205 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-25

Last updated

2011-06-14