Provider Demographics
NPI:1962660464
Name:GARZON, PHILIPPE MICHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIPPE
Middle Name:MICHEL
Last Name:GARZON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 100286
Mailing Address - Street 2:SURGERY EDUCATION OFFICE
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0286
Mailing Address - Country:US
Mailing Address - Phone:352-265-0680
Mailing Address - Fax:352-265-3292
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:SHANDS # 6165
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610
Practice Address - Country:US
Practice Address - Phone:352-265-0605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN12586204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery