MEDICARE: MITCHELL K GARBER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS4118	FL

General Provider Information

NPI Number	:	1841268778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MITCHELL K GARBER DO

Provider Business Mailing Address
First Line	:	2582 GREENWILLOW DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-7551
Country	:	US
Telephone Number	:	321-287-0367
Fax Number	:	407-658-1596

Provider Business Practice Location Address
First Line	:	11550 UNIVERSITY BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-2100
Country	:	US
Telephone Number	:	407-282-2044
Fax Number	:	407-658-1596

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	07/08/2007

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