Individual
DR. GARRETT B GAUSE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4830 W KENNEDY BLVD, STE 440, TAMPA, FL 33609-2564
(813) 286-8100
Mailing address
1722 MARINER WAY, TARPON SPRINGS, FL 34689-5853
(727) 942-2213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME84560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME84560
FL STATE LICENSE
FL
Enumeration date
05/12/2006
Last updated
03/07/2023
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