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
Fax:
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699141051 NPPES
Florida MEDICAID 015609100

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