Healthcare Provider Details

I. General information

NPI: 1104751346
Provider Name (Legal Business Name): PEGGY GARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 E MAIN ST
HAINES CITY FL
33844-4239
US

IV. Provider business mailing address

6348 RIVERLAKE CT
BARTOW FL
33830-7763
US

V. Phone/Fax

Practice location:
  • Phone: 863-421-4415
  • Fax: 863-422-9260
Mailing address:
  • Phone: 863-370-2486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS5991
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: