Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gaynor Medical Practice

Organization General Practice Physician · NPI 1902210172

Gaynor Medical Practice provides General Practice Physician services in Lake Wales, Florida. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

10 W Grove Ave Ste 108
Lake Wales, FL 33853-4516 Not confirmed with CMS for 12 years — call before visiting
Phone: (407) 325-5227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1902210172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Gaynor — Owner · (407) 325-5227
NPI enumeratedJune 16, 2014
Last updated in NPPESJune 16, 2014
Mailing address9483 Wickham Way, Orlando, FL 32836-5521

Other providers in Lake Wales