| Garrick Kantzler Md Pa | |
|
805 37th Pl Vero Beach FL 32960-6564 | |
| (772) 562-2330 | |
| Not Available |
| Full Name | Garrick Kantzler Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 805 37th Pl, Vero Beach, Florida |
| Authorized Official Name and Position | Garrick Benton Kantzler (PRESIDENT) |
| Authorized Official Contact | 7725622330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garrick Kantzler Md Pa 805 37th Pl Vero Beach FL 32960-6564 Ph: (772) 562-2330 | Garrick Kantzler Md Pa 805 37th Pl Vero Beach FL 32960-6564 Ph: (772) 562-2330 |
| NPI Number | 1700188414 |
|---|---|
| Provider Enumeration Date | 12/01/2010 |
| Last Update Date | 12/01/2010 |
| Medicare PECOS PAC ID | 1355526559 |
|---|---|
| Medicare Enrollment ID | O20110504000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700188414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Garrick B Kantzler |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720197080 PECOS PAC ID: 9335324540 Enrollment ID: I20110504000240 |
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