Individual provider · NPI-1

Garrett Betsarakis, AA

Anesthesiologist Assistant · Tallahassee, FL

NPI number1134610223
StatusActive
Last updated in NPPESFeb 28, 2025

Details

NPI
1134610223
Entity type
Individual (NPI-1)
Name
Garrett Betsarakis
Credential
AA
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2018
Certification date
Feb 28, 2025
Last updated
Feb 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist AssistantAA481FLYes

Practice location

1300 Miccosukee Rd
Tallahassee, FL 32308-5054

Phone 727-420-7848

Mailing address

821 Live Oak Ave Ne
Saint Petersburg, FL 33703-3177

Phone 727-420-7848

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