Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY LEE MARDER, D.O.
ActiveDR. GARY LEE MARDER, D.O. is a Allergy healthcare provider located in PORT SAINT LUCIE, Florida. NPI 1730117003 is currently active in the NPPES registry. Verify at CMS.
Allergy · PORT SAINT LUCIE, FL
Registration Details
- NPI Number
- 1730117003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2006 (19.942241166583 yrs)
- Last Updated
- Mar 4, 2008
- Licenses
-
OS4773 (FL)OS4773 (FL)OS4773 (FL)OS4773 (FL)OS4773 (FL)
Practice Information
- Address
-
9580 S FEDERAL HWYPORT SAINT LUCIE, FL, 349524217Browse FL providers · Browse ZIP 34952
- Phone
- 7723351500
- Fax
- 7723351116
- Primary Specialty
-
Allergy
207KA0200X
- Additional Specialty
- Clinical & Laboratory Immunology
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Clinical & Laboratory Dermatological Immunology
- Additional Specialty
- Radiation Oncology
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.