Organization Active NPI

Garrick Kantzler M D P a

  • Internal Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1073709374
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GARRICK KANTZLER M D P A
Practice address
805 37TH PL
Vero Beach, FL 32960-6564
Phone
(772) 562-2330
Fax
(772) 562-2592
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Garrick B Kantzler, M.D.NPI 1720197080
Title
Owner
Phone
(772) 562-2330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

805 37TH PL
Vero Beach, FL 32960-6564

Mailing address

805 37TH PL
Vero Beach, FL 32960-6564
Phone (772) 562-2330

National Provider Directory

National Provider Directory
Tax ID family
Garrick Kantzler M D P a2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1073709374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606564",
            "telephone_number": "772-562-2330",
            "fax_number": "772-562-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606564",
            "telephone_number": "772-562-2330",
            "fax_number": "772-562-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRICK KANTZLER M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "KANTZLER",
        "authorized_official_first_name": "GARRICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-562-2330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.