Healthcare Provider Details

I. General information

NPI: 1154925733
Provider Name (Legal Business Name): AZAM GARNER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2020
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 S ORANGE AVE
ORLANDO FL
32806-3035
US

IV. Provider business mailing address

2021 S ORANGE AVE
ORLANDO FL
32806-3035
US

V. Phone/Fax

Practice location:
  • Phone: 407-730-3557
  • Fax:
Mailing address:
  • Phone: 407-730-3557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS57348
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: