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Individual

JILL R. GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-3890
(941) 917-4595
Mailing address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-3890
(941) 917-4595

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1984632
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
304153100
FL
01
650991971
TAX ID
FL
01
P00147503
MEDICARE RR
FL
Enumeration date
09/20/2005
Last updated
06/16/2015
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