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Beverly Garrison, PA
Medical Physician Assistant in Plantation, Florida
NPI 1548301179

Beverly Garrison is a Medical Physician Assistant based in Centennial, FL and is specialized in Medical. Beverly Garrison practices in Plantation, FL and has the professional credentials of PA. The NPI Number for Beverly Garrison is 1548301179 and holds a License No. PA9116609 (Florida).

The current practice location address for Beverly Garrison is 9611 W Broward Blvd, Plantation, FL and can be reached out via phone at 954-424-7000.

Location: 9611 W Broward Blvd, Plantation, FL, 80112-7201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548301179
Provider Name
Beverly Garrison
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
9611 W Broward Blvd, Plantation, FL, 80112-7201
Phone Number
954-424-7000
Fax Number
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47671360 05 CO
institution
Provider Business Practice Location Address Details
Address
9611 W Broward Blvd
City
Plantation
State
Florida
Zip
33324-2334
Phone Number
954-424-7000
Fax Number
person
Provider Business Mailing Address Details
Address
9611 W Broward Blvd
City
Plantation
State
Florida
Zip
33324-2334
Phone Number
954-424-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9116609 (Florida)
Definition
Definition to come...
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