Mario Gardner, APRN

Nurse Practitioner · Destin, FL

Individual Active NPI

NPI number 1679117451

Practice location

137 Crystal Beach Dr Ste 121
Destin, FL 32541-3573
Phone
(850) 807-4388
Fax
(850) 862-0605

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NPI record

NPI
1679117451
Entity type
Individual (Type 1)
Enumeration date
November 4, 2019
Last updated
February 15, 2024
Certified
February 15, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X APRN11006004 FL
Registered Nurse 163W00000X RN9265919 FL
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X APRN11006004 FL

Mailing address

917 Mar Walt Dr
Fort Walton Beach, FL 32547-6651
Phone
(508) 623-9798
Fax
(850) 862-0605

Other practice locations (1)

  • 917 Mar Walt Dr, Fort Walton Beach, FL 32547-6651 · (850) 862-3979

About Mario Gardner

Mario Gardner, APRN is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 137 Crystal Beach Dr Ste 121, Destin, FL 32541-3573. The NPI number 1679117451 was assigned on November 4, 2019 and the record was last updated on February 15, 2024.

Mario Gardner lists 3 licenses in the registry: #APRN11006004 (FL) for Nurse Practitioner; #RN9265919 (FL) for Registered Nurse; #APRN11006004 (FL) for Undersea and Hyperbaric Medicine (Preventive Medicine) Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mario Gardner, APRN?

The NPI number is 1679117451.

What is the phone number of Mario Gardner?

The phone number listed for the practice location is (850) 807-4388.

Where is Mario Gardner located?

137 Crystal Beach Dr Ste 121, Destin, FL 32541-3573.

What is the taxonomy code for Mario Gardner?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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