GORDON R TANNER

GAINESVILLE, FL
NPI1881932390
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: FL  MA12950)
Enumeration Date2013-01-18
Last Update Date2013-01-18
Business Address
Mr. GORDON R TANNER
6421 SW 13TH ST
GAINESVILLE, FL 32608-5419
Phone number: 352-378-7891
Mailing Address
Mr. GORDON R TANNER
2420 NE 53RD TER
GAINESVILLE, FL 32609-2623
Phone number: 352-381-3506