Organization
R. KEN GARRETT, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODGER GARRETT MD (MD/PRESIDENT)
(352) 867-8898
Entity
Organization
Contact information
Practice address
1501 PASADENA AVE S, SOUTH PASADENA, FL 33707-3717
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 850001, ORLANDO, FL 32885-0175
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME78069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46797
BLUE CROSS BLUE SHIELD
FL
05
—
46797
—
FL
Enumeration date
08/09/2006
Last updated
08/22/2020
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