Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME86639 | FL |
N | 111NI0900X | Internist | ME86639 | FL |
Y | 207RG0300X | Geriatric Medicine | ME86639 | FL |
N | 207RH0002X | Hospice and Palliative Medicine | ME86639 | FL |
NPI | 1063510592 |
---|---|
Provider Name | Ronald T Garry |
First Address | Naples, FL 34102 |
Second Address | Naples, FL 34102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 13/10/2015 |