Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUIS A GANDARA, M.D.
ActiveDR. LUIS A GANDARA, M.D. is a Sports Medicine (PM&R) healthcare provider located in LAKE MARY, Florida. NPI 1407050404 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · LAKE MARY, FL
Registration Details
- NPI Number
- 1407050404
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2007 (19.211514151107 yrs)
- Last Updated
- Nov 4, 2020
- Licenses
-
MD 440572 (PA)16675 (PR)ME109856 (FL)
Practice Information
- Address
-
701 PLATINUM PTLAKE MARY, FL, 327464871Browse FL providers · Browse ZIP 32746
- Phone
- 4072064500
- Fax
- 4076432802
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Sports Medicine (PM&R)
Other Sports Medicine (PM&R) Providers in LAKE MARY, FL
| Name | Credential | NPI |
|---|---|---|
| BELLA BUI | PTA | 1386417061 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.