# R. KEN GARRETT, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124038468
- **Authorized official:** DR. RODGER GARRETT MD (MD/PRESIDENT)
- **Authorized official phone:** (352) 867-8898

## Contact information

- **Practice address:** 1501 PASADENA AVE S, SOUTH PASADENA, FL 33707-3717
- **Practice address phone:** (352) 867-8898
- **Practice address fax:** (352) 732-6282
- **Mailing address:** PO BOX 850001, ORLANDO, FL 32885-0175
- **Mailing address phone:** (352) 867-8898
- **Mailing address fax:** (352) 732-6282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME78069 | FL | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 08/22/2020
