IndividualActive
Luis Gandara, M.D.
NPI 1407050404 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Lake Mary, FL
Provider details
- NPI number
- 1407050404
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD 440572 (PA)
Practice location
701 Platinum PT
Lake Mary, FL 32746-4871
Phone: (407) 206-4500
Fax: (407) 643-2802
Mailing address
701 Platinum PT
Lake Mary, FL 32746-4871
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2020-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.