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NPI Code Detail

MEDICARE: GARREN DIAL

MEDICARE: GARREN DIAL
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
1367H00000XAnesthesiologist AssistantAA608FL

Other Identifiers

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

General Provider Information

NPI Number : 1548884364
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARREN DIAL
Provider Business Mailing Address
First Line : 3000 WIREGRASS RANCH BLVD
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-4274
Country : US
Telephone Number : 407-712-8131
Fax Number : 321-843-2196
Provider Business Practice Location Address
First Line : 3000 WIREGRASS RANCH BLVD
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-4274
Country : US
Telephone Number : 407-712-8131
Fax Number : 321-843-2196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2020
Last Update Date : 06/09/2026

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Directions to “ GARREN DIAL ” Practice Location

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