Provider Demographics
NPI:1831240357
Name:GARRETT, PAUL ROBERT JR (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ROBERT
Last Name:GARRETT
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:GOLDENROD
Mailing Address - State:FL
Mailing Address - Zip Code:32733-0339
Mailing Address - Country:US
Mailing Address - Phone:407-365-8400
Mailing Address - Fax:407-260-6702
Practice Address - Street 1:115 BOSTON AVE
Practice Address - Street 2:SUITE 2300
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5901
Practice Address - Country:US
Practice Address - Phone:407-975-3663
Practice Address - Fax:407-260-6702
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FL30261207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology