Provider Demographics
NPI:1174984397
Name:GARRETT, DARYL (ARNP)
Entity type:Individual
Prefix:MR
First Name:DARYL
Middle Name:
Last Name:GARRETT
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8515 N MITCHELL AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-1658
Mailing Address - Country:US
Mailing Address - Phone:813-307-8047
Mailing Address - Fax:
Practice Address - Street 1:8515 N MITCHELL AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-1658
Practice Address - Country:US
Practice Address - Phone:813-307-8047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-16
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9348765363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner