Garrison, Beverly
Garrison, Beverly is an individual health care provider with primary practice located at 9611 W Broward Blvd , Plantation FL 33324-2334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Garrison, Beverly can be contacted via phone (954) 424-7000.Contact Information
Primary practice address
9611 W Broward Blvd
Plantation FL 33324-2334
Phone: (954) 424-7000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9116609 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 847 | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA16250 | Texas |
Profile Details
NPI number | 1548301179 |
---|---|
LBN Legal business name | Garrison, Beverly |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2007 |
Last updated | Nov 22nd, 2022 - about 3 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 | 1548301179 | NPPES |
Colorado | MEDICAID | 47671360 |
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