Individual
GARRETT CUPPELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2828 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7944
(561) 734-5080
Mailing address
26650 CARLISLE DR, MILLSBORO, DE 19966-3911
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A96707
CA
207X00000X
Orthopaedic Surgery Physician
Primary
ME100767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A96707
MEDICAL LICENSE
CA
01
—
ME100767
MEDICAL LICENSE
FL
Enumeration date
08/14/2006
Last updated
08/31/2009
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