Mr. John Bertram Garrett IV
Nurse Practitioner - Primary Care
5079 Garrett Rd
Malone
, Florida 32445-3409
Mr. John Bertram Garrett IV
Nurse Practitioner - Primary Care
5079 Garrett Rd
Malone
, Florida 32445-3409
(850) 557-3761
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mr. John Bertram Garrett IV
- 5079 Garrett Rd
- Malone, FL
- Zip : 32445-3409
- Phone : (850) 557-3761
Second Address
- Mr. John Bertram Garrett IV
- 5079 Garrett Rd
- Malone, FL
- Zip : 32445-3409
- Phone : (505) 557-3761
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN11008985 | FL |
National Provider Identifier
| NPI | 1023617420 |
|---|---|
| Provider Name | Mr. John Bertram Garrett IV |
| First Address | Malone, FL 32445-3409 |
| Second Address | Malone, FL 32445-3409 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2020 |
| Last Update Date | 19/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.