Provider Demographics
NPI:1306102983
Name:GARNETT, CHRISTOPHER GEORGE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:GEORGE
Last Name:GARNETT
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:701 94TH AVE N STE 250
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-2448
Mailing Address - Country:US
Mailing Address - Phone:727-321-3854
Mailing Address - Fax:727-327-7670
Practice Address - Street 1:3500 E FLETCHER AVE STE 302
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4797
Practice Address - Country:US
Practice Address - Phone:727-321-3854
Practice Address - Fax:727-321-3854
Is Sole Proprietor?:No
Enumeration Date:2012-04-08
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME161566207R00000X
LAMD.207719207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2405667Medicaid
MS02931259Medicaid
FL117831500Medicaid