| Jacob Ryan Gardner, PA | |
|
18167 Us Highway 19 N Ste 150, Clearwater, FL 33764-6566 | |
| (727) 321-3854 | |
| Not Available |
| Full Name | Jacob Ryan Gardner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 18167 Us Highway 19 N Ste 150, Clearwater, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528821642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9118395 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Ryan Gardner, PA 701 94th Ave N Ste 250, St Petersburg, FL 33702-2448 Ph: (727) 321-3854 | Jacob Ryan Gardner, PA 18167 Us Highway 19 N Ste 150, Clearwater, FL 33764-6566 Ph: (727) 321-3854 |
Jensen Thompson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Ralph Buck, SA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 29253 Us Highway 19 N, Clearwater, FL 33761 Phone: 727-313-4764 | |
Mr. Eduardo L. Rios, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Pinellas St, Suite 325, Clearwater, FL 33756 Phone: 727-298-6121 Fax: 727-461-8705 | |
Mrs. Patricia M Tutor, CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1106 Druid Rd S, Suite 301, Clearwater, FL 33756 Phone: 727-446-5681 Fax: 727-461-6258 | |
Benjamin Mcqueen, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 29277 Us Highway 19 N, Clearwater, FL 33761 Phone: 727-313-4764 | |
Sara Hofstra, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Ms. Veronica T Stephan, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1180 Ponce Deleon Blvd, Suite 401, Clearwater, FL 33756 Phone: 727-581-3171 Fax: 727-581-0871 |