Ellis Keith Garrett is a Surgical in Tampa, Florida. Ellis Keith Garrett practices all healthcare services and medical treatments related to Surgical. The NPI Number for Ellis Keith Garrett is 1639162142. The last update date is 2007-07-09.
Ellis Keith Garrett's current location address is Po Box 21686, Tampa, Florida. You can contact this provider via phone number 8778725788 and fax number 8666987272. The mailing address for Ellis Keith Garrett is Po Box 21686, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellis Keith Garrett |
|---|---|
| Address | Po Box 21686, Tampa, Florida |
| Phone Number | 8778725788 |
| Fax Number | 8666987272 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1639162142 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 21686 |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336221686 |
| Phone Number | 8778725788 |
| Fax Number | 8666987272 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA0001998 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00040948 | FL | RAILROAD MEDICARE PROVIDE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ellis Keith Garrett by the Centers for Medicare & Medicaid Services?
The Ellis Keith Garrett has been assigned the NPI (National Provider Identifier) 1639162142 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Ellis Keith Garrett?
The Ellis Keith Garrett is situated at Po Box 21686, in the city of Tampa, state of FL, with the zip code 336221686.
What is Ellis Keith Garrett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ellis Keith Garrett is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639162142 to Ellis Keith Garrett?
The Centers for Medicare & Medicaid Services originally issued the 1639162142 to Ellis Keith Garrett on 2005-08-30.
When was the information regarding Ellis Keith Garrett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ellis Keith Garrett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.