Healthcare Provider Details

I. General information

NPI: 1659295970
Provider Name (Legal Business Name): GARRETT STUTSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14935 SW 20TH PL
OCALA FL
34481-5024
US

IV. Provider business mailing address

14935 SW 20TH PL
OCALA FL
34481-5024
US

V. Phone/Fax

Practice location:
  • Phone: 352-274-1018
  • Fax:
Mailing address:
  • Phone: 352-274-1018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number16003
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: