Gabriel Jacob Garrison, DC
Chiropractor in Port Orange, FL. Individual provider (NPI-1).
NPI number1053124362
StatusActive
Last updated in NPPESJan 30, 2025
Details
- NPI
- 1053124362
- Entity type
- Individual (NPI-1)
- Name
- Gabriel Jacob Garrison
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2025
- Certification date
- Jan 30, 2025
- Last updated
- Jan 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH15371 | FL | Yes |
Practice location
1103 Nature View CirPort Orange, FL 32128-7454
Phone 854-812-5273
Mailing address
1103 Nature View CirPort Orange, FL 32128-7454
Phone 854-812-5273
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