Healthcare Provider Details

I. General information

NPI: 1306102983
Provider Name (Legal Business Name): CHRISTOPHER GEORGE GARNETT M.D., MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2012
Last Update Date: 12/19/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 E FLETCHER AVE STE 302
TAMPA FL
33613-4797
US

IV. Provider business mailing address

701 94TH AVE N STE 250
ST PETERSBURG FL
33702-2448
US

V. Phone/Fax

Practice location:
  • Phone: 727-321-3854
  • Fax: 727-321-3854
Mailing address:
  • Phone: 727-321-3854
  • Fax: 727-327-7670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME161566
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.207719
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: