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Individual

MRS. JENNIFER GARLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3603
(813) 844-3334
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
(813) 844-3334

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9252936
FL
363LA2100X
Acute Care Nurse Practitioner
ARNP 9252936
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000754700
FL
01
Y129W
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/01/2008
Last updated
04/16/2009
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