Garrison, Kevin S

Garrison, Kevin S is an individual health care provider with primary practice located at 17184 Ne 19Th Ave , North Miami Beach FL 33162-3102. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Garrison, Kevin S can be contacted via phone (305) 949-1888.

Contact Information

Primary practice address
17184 Ne 19Th Ave North Miami Beach FL 33162-3102
Phone: (305) 949-1888
Fax: (305) 949-5546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X 4 Florida

Profile Details

NPI number 1205324282
LBN Legal business name Garrison, Kevin S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2018
Last updated Jun 16th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205324282 NPPES
Florida MEDICAID 028841100

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