Garrett, Mary K

Garrett, Mary K is an individual health care provider with primary practice located at 20 W Kaley St , Orlando FL 32806-2931. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Garrett, Mary K can be contacted via phone (407) 423-2581.

Contact Information

Primary practice address
20 W Kaley St Orlando FL 32806-2931
Phone: (407) 423-2581
Fax: (407) 849-6470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X ME55712 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME 55712 Florida

Profile Details

NPI number 1235126970
LBN Legal business name Garrett, Mary K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Nov 29th, 2017 - about 9 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 1235126970 NPPES
Florida MEDICAID 0389765

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