ELLIS KEITH GARRETT

TAMPA, FL
NPI1639162142
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  PA0001998)
Enumeration Date2005-08-30
Last Update Date2007-07-09
Business Address
-- ELLIS KEITH GARRETT PA-C
12880 COMMODITY PL CARE OF UNITED SURGICAL ASSISTANTS, INC.
TAMPA, FL 33626-3101
Phone number: 877-872-5788
Mailing Address
-- ELLIS KEITH GARRETT PA-C
PO BOX 21686 CARE OF UNITED SURGICAL ASSISTANTS, INC.
TAMPA, FL 33622-1686
Phone number: 877-872-5788
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