Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME148867 | FL |
NPI | 1205280617 |
---|---|
Provider Name | Dr. Garen Alexander Collett |
First Address | Plantation, FL 33324-4067 |
Second Address | Weston, FL 33331-3625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2016 |
Last Update Date | 12/07/2021 |