Individual
BEVERLY GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9611 W BROWARD BLVD, PLANTATION, FL 33324-2334
(954) 424-7000
Mailing address
9094 E MINERAL AVE., SUITE 100, CENTENNIAL, CO 80112-7201
(303) 694-3200
(303) 694-2680
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
847
CO
363AM0700X
Medical Physician Assistant
Primary
PA16250
TX
363AM0700X
Medical Physician Assistant
PA9116609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47671360
—
CO
Enumeration date
02/08/2007
Last updated
11/22/2022
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