Provider Demographics
NPI:1699587840
Name:GAYNOR, AVRUM
Entity type:Individual
Prefix:
First Name:AVRUM
Middle Name:
Last Name:GAYNOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7050 W PALMETTO PARK RD
Mailing Address - Street 2:SUITE 15-395
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3466
Mailing Address - Country:US
Mailing Address - Phone:561-358-9886
Mailing Address - Fax:
Practice Address - Street 1:7050 W PALMETTO PARK RD
Practice Address - Street 2:SUITE 15-395
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3466
Practice Address - Country:US
Practice Address - Phone:561-358-9886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies