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GAYNOR MEDICAL PRACTICE
NPI 1902210172
General Practice in Lake Wales, FL

Active since June 16, 2014
10 W GROVE AVE, SUITE 108, LAKE WALES, FL 33853(407) 325-5227 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gaynor Medical Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAYNOR MEDICAL PRACTICE (NPI 1902210172) is a healthcare organization registered as a general practice in Lake Wales, Florida and active in the NPI registry since June 2014. The organization lists Robert Gaynor, Owner, as its authorized official.

NPPES Registry Identity

NPI1902210172
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGAYNOR MEDICAL PRACTICE
Location Address10 W GROVE AVE, SUITE 108Lake Wales, FL 33853-4516
Mailing Address9483 Wickham WayOrlando, FL 32836-5521 · (407) 325-5227
Phone(407) 325-5227
Organization SubpartNo
Authorized OfficialRobert GaynorOwner · (407) 325-5227
Enumeration DateJune 16, 2014
✔ NPI 1902210172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
10 W GROVE AVE, Lake Wales, FL 33853
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE CHRISTY
Physical Therapist
10 W GROVE AVE
LAKE WALES, FL 33853
Polk County (877) 787-3430
MISTY BITTNER
Physical Therapy Assistant
10 W GROVE AVE
LAKE WALES, FL 33853
Polk County (863) 632-3793
BRIANNA TYKIA BELL
Occupational Therapist
10 W GROVE AVE
LAKE WALES, FL 33853
Polk County (863) 419-6730
FRANKLIN DALE LASTINGER III COTA/L
Occupational Therapy Assistant
10 W GROVE AVE
LAKE WALES, FL 33853
Polk County (863) 678-6800
MRS. PATRICIA CAMPBELL BURKS OTR/L
Occupational Therapist
10 W GROVE AVE
LAKE WALES, FL 33853
Polk County (706) 415-6771
NICKOLE LEE CORATO PTA
Physical Therapy Assistant
10 W GROVE AVE
LAKE WALES, FL 33853
Polk County (863) 412-1611
REBECCA I THOMAS PTA
Physical Therapy Assistant
10 W GROVE AVE
LAKE WALES, FL 33853
Polk County (866) 711-6594
NEVER LEFT ALONE CONCIERGE SERVICES, INC.
In Home Supportive Care
10 W GROVE AVE
LAKE WALES, FL 33853
Polk County (863) 678-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gaynor Medical Practice's NPI number?

The NPI number for Gaynor Medical Practice is 1902210172. It was assigned to this organization in the NPPES registry on June 16, 2014.

Where is Gaynor Medical Practice located?

Gaynor Medical Practice is located at 10 W Grove Ave Suite 108, Lake Wales, FL 33853. The listed phone number is (407) 325-5227.

What is Gaynor Medical Practice's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Gaynor Medical Practice was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.