National Provider Identifier Database

GARY L MARDER, DO – NPI #1730117003
Allergy

A physician who specializes in the diagnosis, treatment, and management of allergies.


Contact Information

GARY L MARDER, DO
9580 S FEDERAL HWY
PORT SAINT LUCIE, FL34952-4217
Phone: 772-335-1500
Fax: 772-335-1116
Website:
Specialty Taxonomy Code
* Allergy 207KA0200X
Clinical & Laboratory Dermatological Immunology 207NI0002X
Clinical & Laboratory Immunology 207KI0005X
Dermatopathology 207ND0900X
Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for GARY L MARDER

NPI Number 1730117003
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/28/2006
Last updated 03/04/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • FL License #: OS4773
  • FL Other: 82760 BCBS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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