Provider Demographics
NPI:1164454732
Name:GARNET AND CARBONELL DPM LLC
Entity Type:Organization
Organization Name:GARNET AND CARBONELL DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-251-2552
Mailing Address - Street 1:6705 SW 57TH AVE STE 312
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3638
Mailing Address - Country:US
Mailing Address - Phone:305-251-2552
Mailing Address - Fax:305-252-7768
Practice Address - Street 1:6705 SW 57TH AVE STE 312
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3638
Practice Address - Country:US
Practice Address - Phone:305-251-2552
Practice Address - Fax:305-252-7768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL99898OtherBCBS OF FL
FL300737100OtherUS DEPT OF LABOR
FL62308OtherCIGNA
FLDE7422OtherRAILROAD MEDICARE
FLDE7422OtherRAILROAD MEDICARE