Individual
KYLE L GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME94509
FL
207VG0400X
Gynecology Physician
ME94509
FL
207VX0000X
Obstetrics Physician
Primary
ME94509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276640000
—
FL
01
—
56493
BUE CROSS BLUE SHIELD
—
Enumeration date
05/03/2006
Last updated
12/21/2012
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