Doctor Name: | SUSAN M GARRISON |
NPI Number: | 1033260781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | PA 3035 |
Business Practice Address: | 18907 Se Loxahatchee River Rd Jupiter, FL - 334581081 |
Business Phone Number: | 5617482889 |
Business Fax Number: | 5617481523 |
Mailing Address: | Po Box 2699, JUPITER |
State: | FL |
Postal Code: | 334682699 |
Phone Number: | 5617482889 |
Fax Number: | 5617481523 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA 3035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |