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

Gary E Lane, MD

Individual provider Interventional Cardiology Physician · NPI 1174510333

Gary E Lane, MD is a Cardiovascular Disease (Cardiology) in Jacksonville, Florida. Graduated from Ohio State University College of Medicine in 1977, 49 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
49
Trained at
Ohio State University College of Medicine
Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence ME49065 (FL)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence ME49065 (FL)

Record details

NPI number1174510333
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1977 (49 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jacksonville