Individual
DR. GARRY S KITAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 SAN MARCO BLVD STE 200, JACKSONVILLE, FL 32207-8566
(904) 346-3465
(904) 396-0388
Mailing address
1325 SAN MARCO BLVD STE 200, JACKSONVILLE, FL 32207-8566
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME70885
FL
207XS0106X
Orthopaedic Hand Surgery Physician
ME70885
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME70885
FL
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
ME70885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250440500
—
FL
Enumeration date
06/09/2005
Last updated
11/16/2020
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