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ELLIS KEITH GARRETT PA-C
NPI 1639162142
Physician Assistant - Surgical in Tampa, FL

Active since August 30, 2005
12880 COMMODITY PL, CARE OF UNITED SURGICAL ASSISTANTS, INC., TAMPA, FL 33626(877) 872-5788(866) 698-7272 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ellis Keith Garrett Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIS KEITH GARRETT PA-C (NPI 1639162142) is an individual surgical provider in Tampa, Florida, licensed in Florida (PA0001998) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1639162142
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameELLIS KEITH GARRETTCredential: PA-C
Location Address12880 COMMODITY PL, CARE OF UNITED SURGICAL ASSISTANTS, INC.Tampa, FL 33626-3101
Mailing AddressPo Box 21686, Care Of United Surgical Assistants, Inc.Tampa, FL 33622-1686 · (877) 872-5788 · Fax (866) 698-7272
Phone(877) 872-5788
Fax(866) 698-7272
Sole ProprietorNo
Enumeration DateAugust 30, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1639162142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA0001998
12880 COMMODITY PL, Tampa, FL 33626
Open in Google Maps ↗

Other Identifiers 3

OtherP00040948FL · Railroad Medicare Provide
Medicare UPINS80954FL
Medicare ID-Type UnspecifiedE2565AFL · Provider #

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ANTHONY BROMAGEN PA
Physician Assistant (Surgical)
12880 COMMODITY PL
TAMPA, FL 33626
Hillsborough County (813) 343-5500
DR. GORDON W MCNEAL M.D.
Surgery
12880 COMMODITY PL, CARE OF UNITED SURGICAL ASSISTANTS, INC.
TAMPA, FL 33626
Hillsborough County (877) 872-5788
MARIA ANN DAMBECK CRNFA
Registered Nurse (Registered Nurse First Assistant)
12880 COMMODITY PL, CARE OF UNITED SURGICAL ASSISTANTS, INC.
TAMPA, FL 33626
Hillsborough County (877) 872-5788
ROBERT ENNES ALDRICH JR. PA-C
Physician Assistant (Surgical)
12880 COMMODITY PL, C/O UNITED SURGICAL ASSISTANTS
TAMPA, FL 33626
Hillsborough County (877) 872-5788
JOSHUA R WILLIAMS PA-C
Physician Assistant (Surgical)
12880 COMMODITY PL, CARE OF UNITED SURGICAL ASSISTANTS, INC.
TAMPA, FL 33626
Hillsborough County (877) 872-5788
ANTONIO MARTINO MILLS PA-C
Physician Assistant (Surgical)
12880 COMMODITY PL
TAMPA, FL 33626
Hillsborough County (813) 343-5500
ANDREA LISA ENTIN RNFA
Registered Nurse (Registered Nurse First Assistant)
12880 COMMODITY PL
TAMPA, FL 33626
Hillsborough County (813) 343-5500
USA MEDICAL SERVICES PC
Surgery
12880 COMMODITY PL
TAMPA, FL 33626
Hillsborough County (877) 872-5788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellis Garrett's NPI number?

The NPI number for Ellis Garrett is 1639162142. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Ellis Garrett located?

Ellis Garrett practices at 12880 Commodity Pl Care Of United Surgical Assistants, Inc., Tampa, FL 33626. The listed phone number is (877) 872-5788.

What is Ellis Garrett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Ellis Garrett was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.