Organization
MUKUL GARG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKUL GARG MD PA (MD PA)
(386) 676-4419
Entity
Organization
Contact information
Practice address
875 STERTHAUS AVE, ORMOND BEACH, FL 32174-5131
(386) 676-6000
Mailing address
PO BOX 1917, ORMOND BEACH, FL 32175-1917
(386) 676-4419
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 0047738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047843100
—
FL
Enumeration date
07/02/2008
Last updated
09/08/2008
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