Individual
GARRETT R PENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 201, DAYTONA BEACH, FL 32117-5169
(386) 231-6460
(386) 231-6464
Mailing address
770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-5179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12530
MN
363A00000X
Physician Assistant
6339
AZ
363A00000X
Physician Assistant
Primary
PA9120153
FL
Other
Enumeration date
02/11/2013
Last updated
07/28/2025
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