Individual
LUIS M. GARZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2432 S FRENCH AVE, SANFORD, FL 32771-4276
(407) 768-4464
(407) 878-0114
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101416
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9101416
PA LICENSE
FL
Enumeration date
02/06/2007
Last updated
05/30/2023
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