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1689945693
SETH D GARDNER
LAKELAND, FL
NPI
1689945693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9109363)
Enumeration Date
2012-01-23
Last Update Date
2017-08-04
Business Address
-- SETH D GARDNER PA
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1321
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Mailing Address
-- SETH D GARDNER PA
1324 LAKELAND HILLS BLVD ATTN: MANAGED CARE DEPT
LAKELAND, FL 33805-1686
Phone number:
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