Provider Demographics
NPI:1548146988
Name:GARRETT, CHANEL T
Entity type:Individual
Prefix:MS
First Name:CHANEL
Middle Name:T
Last Name:GARRETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5218 N ORANGE BLOSSOM TRL APT 302
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-1075
Mailing Address - Country:US
Mailing Address - Phone:407-600-9247
Mailing Address - Fax:
Practice Address - Street 1:5218 N ORANGE BLOSSOM TRL APT 302
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-1075
Practice Address - Country:US
Practice Address - Phone:407-600-9247
Practice Address - Fax:407-600-9247
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care