Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DN10048 | FL |
NPI | 1083684666 |
---|---|
Provider Name | Dr. Patricia Garrity |
First Address | Pensacola, FL 32506-8476 |
Second Address | Pensacola, FL 32508-5211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 08/07/2007 |