Provider Demographics
NPI:1992796551
Name:GASNER, KURT A (MD)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:A
Last Name:GASNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 S ORANGE AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2946
Mailing Address - Country:US
Mailing Address - Phone:407-236-0404
Mailing Address - Fax:407-643-2805
Practice Address - Street 1:1717 S ORANGE AVE STE 103
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2946
Practice Address - Country:US
Practice Address - Phone:407-236-0404
Practice Address - Fax:407-643-2805
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80873207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00272526OtherRAILROAD
FL273158400Medicaid
FL28590OtherBLUE CROSS/BLUE SHIELD
FL28590OtherBLUE CROSS/BLUE SHIELD
FLP00272526OtherRAILROAD