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Individual

DR. GARRETT ALAN HAUPTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL 32605
(352) 331-0090
(352) 331-0094
Mailing address
7135 NW 11TH PLACE, GAINESVILLE, FL 32605
(352) 331-0090
(352) 331-0090

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME100127
FL
207YX0602X
Otolaryngic Allergy Physician
ME100127
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215121983
GROUP NPI
FL
01
1770787343
INDIVIDUAL NPI
FL
01
ME100127
MEDICAL LICENSE
FL
Enumeration date
06/14/2007
Last updated
05/01/2013
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