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 is a General Practice Physician 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
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