Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME70885 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | ME70885 | FL |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME70885 | FL |
Y | 2086S0105X | Surgery of the Hand | ME70885 | FL |
NPI | 1265436034 |
---|---|
Provider Name | Dr. Garry S Kitay |
First Address | Jacksonville, FL 32207-8566 |
Second Address | Jacksonville, FL 32207-8566 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 16/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
250440500 | (05) | FL |
G16166 | (02) | FL |