MEDICARE: DR. KENDIS GARRETT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ME49251	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326035155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENDIS GARRETT MD

Provider Business Mailing Address
First Line	:	7451 WILES RD
Second Line	:	SUITE 205
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2040
Country	:	US
Telephone Number	:	954-345-6838
Fax Number	:	954-345-6848

Provider Business Practice Location Address
First Line	:	7451 WILES RD
Second Line	:	SUITE 205
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2040
Country	:	US
Telephone Number	:	954-345-6838
Fax Number	:	954-345-6848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	12/16/2008

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Directions to “ DR. KENDIS GARRETT MD” Practice Location

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