Individual
HOLLY N GARZA-SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
451 SW BETHANY DR STE 103, PORT ST LUCIE, FL 34986-1964
(772) 301-1354
Mailing address
804 GRANDVIEW BLVD, FORT PIERCE, FL 34982-6213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112952
FL
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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