Individual
MR. JOHN BERTRAM GARRETT IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
5079 GARRETT RD, MALONE, FL 32445-3409
(505) 557-3761
Mailing address
5079 GARRETT RD, MALONE, FL 32445-3409
(850) 557-3761
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11008985
FL
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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