Individual provider · Type 1 NPI

Ellis Keith Garrett, PA-C

Surgical Physician Assistant · Tampa, FL

NPI number 1639162142 Active

Practice location

12880 Commodity Pl, Care Of United Surgical Assistants, Inc.
Tampa, FL 33626-3101

Call (877) 872-5788 Map

Fax (866) 698-7272

Mailing address

PO Box 21686, Care Of United Surgical Assistants, Inc.
Tampa, FL 33622-1686

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA0001998 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1639162142

Ellis Keith Garrett, PA-C's National Provider Identifier is 1639162142, issued on Aug 30, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tampa, FL. The record was last updated on Jul 9, 2007.