Individual
GARRETT RUSSELL WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 SE SALERNO RD, STUART, FL 34997-6503
(772) 223-2300
Mailing address
2069 CHAGALL CIR, WEST PALM BEACH, FL 33409-7525
(794) 624-6114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME146059
FL
Other
Enumeration date
04/14/2017
Last updated
06/19/2025
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