Provider Demographics
NPI:1578954681
Name:GARRETT INTERNAL MEDICINE, P.A.
Entity Type:Organization
Organization Name:GARRETT INTERNAL MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:H
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:386-225-4900
Mailing Address - Street 1:50 LEANNI WAY STE A3-4
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-4751
Mailing Address - Country:US
Mailing Address - Phone:386-225-4900
Mailing Address - Fax:386-225-4748
Practice Address - Street 1:50 LEANNI WAY STE A3-4
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-4751
Practice Address - Country:US
Practice Address - Phone:386-225-4900
Practice Address - Fax:386-225-4748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-11
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty