Individual
GREGORY M GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2906 17TH ST, SAINT CLOUD, FL 34769-6006
(407) 425-4847
(904) 346-0113
Mailing address
PO BOX 628296, ORLANDO, FL 32862-8296
(407) 741-9418
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0073072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44407
BCBS
FL
Enumeration date
11/15/2006
Last updated
07/08/2007
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