Garrison, Tara
Garrison, Tara is an individual health care provider with primary practice located at 1600 Sw Archer Rd #100335, Gainesville FL 32610-3003. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Garrison, Tara can be contacted via phone (352) 265-0200.Contact Information
Primary practice address
1600 Sw Archer Rd #100335
Gainesville FL 32610-3003
Phone: (352) 265-0200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | ARNP9291767 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9291767 | Florida |
Profile Details
| NPI number | 1699141051 |
|---|---|
| LBN Legal business name | Garrison, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2015 |
| Last updated | Apr 20th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699141051 | NPPES |
| Florida | MEDICAID | 015609100 |
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