Garrett, Ellis Keith
Garrett, Ellis Keith is an individual health care provider with primary practice located at 12880 Commodity Pl Care Of United Surgical Assistants, Inc., Tampa FL 33626-3101. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Garrett, Ellis Keith can be contacted via phone (877) 872-5788.Contact Information
Primary practice address
12880 Commodity Pl Care Of United Surgical Assistants, Inc.
Tampa FL 33626-3101
Phone: (877) 872-5788
Fax: (866) 698-7272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA0001998 | Florida |
Profile Details
| NPI number | 1639162142 |
|---|---|
| LBN Legal business name | Garrett, Ellis Keith |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639162142 | NPPES |
| Florida | Other | P00040948 | RAILROAD MEDICARE PROVIDE |
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