Healthcare Provider Details
I. General information
NPI: 1689002875
Provider Name (Legal Business Name): MICHELL ANN GARNER RN LMT, EMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/24/2013
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3389 MARINER BLVD
SPRING HILL FL
34609-2461
US
IV. Provider business mailing address
PO BOX 3
FLORAL CITY FL
34436-0003
US
V. Phone/Fax
- Phone: 352-756-4793
- Fax:
- Phone: 518-992-0074
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 11659 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC1500X |
| Taxonomy | Community Health Registered Nurse |
| License Number | RN9692459 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | 11659 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: