Gaines, Tay Garnett

Gaines, Tay Garnett is an sole proprietor health care provider with primary practice located at 1914 37Th St , West Palm Beach FL 33407-3506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as his primary health care specialty. Gaines, Tay Garnett can be contacted via phone (561) 845-0974.

Contact Information

Primary practice address
1914 37Th St West Palm Beach FL 33407-3506
Phone: (561) 845-0974
Fax: (561) 840-6525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X ME55707 Florida

Profile Details

NPI number 1174539068
LBN Legal business name Gaines, Tay Garnett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Sep 2nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174539068 NPPES
Florida Other 09812W MEDICARE PTAN

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