person
Ellis Keith Garrett, PA-C
Surgical Physician Assistant in Tampa, Florida
NPI 1639162142

Ellis Keith Garrett is a Surgical Physician Assistant based in Tampa, FL and is specialized in Surgical. Ellis Keith Garrett practices in Tampa, FL and has the professional credentials of PA-C. The NPI Number for Ellis Keith Garrett is 1639162142 and holds a License No. PA0001998 (Florida).

The current practice location address for Ellis Keith Garrett is 12880 Commodity Pl, Tampa, FL and can be reached out via phone at 877-872-5788 and via fax at 866-698-7272.

Location: 12880 Commodity Pl, Tampa, FL, 33622-1686
person
Provider Profile Details
NPI Number
1639162142
Provider Name
Ellis Keith Garrett
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
12880 Commodity Pl, Tampa, FL, 33622-1686
Phone Number
877-872-5788
Fax Number
866-698-7272
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00040948 01 FL RAILROAD MEDICARE PROVIDE
institution
Provider Business Practice Location Address Details
Address
12880 Commodity Pl
City
State
Zip
33626-3101
Phone Number
877-872-5788
Fax Number
866-698-7272
person
Provider Business Mailing Address Details
Address
12880 Commodity Pl
City
State
Zip
33626-3101
Phone Number
877-872-5788
Fax Number
866-698-7272
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA0001998 (Florida)
Definition
Definition to come...
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