Individual
KEVIN S GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17184 NE 19TH AVE, NORTH MIAMI BEACH, FL 33162-3102
(305) 949-1888
(305) 949-5546
Mailing address
17184 NE 19TH AVE, NORTH MIAMI BEACH, FL 33162-3102
(305) 949-1888
(305) 949-5546
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
4
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028841100
—
FL
Enumeration date
04/25/2018
Last updated
06/16/2018
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