Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | OS13562 | FL |
N | 208600000X | Surgeon | OS13562 | FL |
N | 208200000X | Surgeon | T-0101 | MS |
N | 208600000X | Surgeon | T-0101 | MS |
Y | 2086S0127X | Trauma Surgeon | OS13562 | FL |
NPI | 1164651337 |
---|---|
Provider Name | Dr. Andrew Christian Gaugler |
First Address | Lakeland, FL 33805-4543 |
Second Address | Lakeland, FL 33803-3818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 01/09/2016 |