Individual
DR. TAY GARNETT GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1914 37TH ST, WEST PALM BEACH, FL 33407-3506
(561) 845-0974
(561) 840-6525
Mailing address
1914 37TH ST, WEST PALM BEACH, FL 33407-3506
(561) 845-0974
(561) 840-6525
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
ME55707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09812W
MEDICARE PTAN
FL
Enumeration date
07/31/2006
Last updated
09/02/2008
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