Male or Other

Luis M. Garzon PA-C

Medical Physician Assistant in Sanford, FL(View on Map)

Full Name

Luis M. Garzon PA-C

NPI Number

1710026588

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/06/2007

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9101416

Contact
Information

Purpose

Mailing
Location

Address

6675 WESTWOOD BLVD STE 475
2432 S FRENCH AVE

City

Orlando
Sanford

State

FL
FL

Postal Code

32821-6027
32771-4276

Country

US
US

Telephone Number

(407) 845-0330
(407) 768-4464

Identifiers

Identifier

PA9101416

Identifier State

FL

Identifier Issuer

PA LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/30/2023

Provider Address

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