NPI 1205324282

Kevin S Garrison

Practitioner Prosthetist North Miami Beach, FL

Practice location

Address: 17184 NE 19th Ave, North Miami Beach, FL 33162-3102
Phone: (305) 949-1888
Fax: (305) 949-5546

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 4 (FL)

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Registry record

NPI: 1205324282
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2018
Record last updated: 16 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.