Provider Demographics
NPI:1255824678
Name:GARLAND, SEAN (MSACN)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:GARLAND
Suffix:
Gender:M
Credentials:MSACN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 CLEARWATER PARK RD APT 1201
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6250
Mailing Address - Country:US
Mailing Address - Phone:315-243-4234
Mailing Address - Fax:
Practice Address - Street 1:3370 GRANDE CORNICHE
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-1613
Practice Address - Country:US
Practice Address - Phone:561-630-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist