Provider Demographics
NPI:1568631927
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:CREDENTIALING
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:305-670-8411
Mailing Address - Fax:305-670-8412
Practice Address - Street 1:925 NE 30TH TER STE 106
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-7614
Practice Address - Country:US
Practice Address - Phone:864-460-4407
Practice Address - Fax:786-446-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
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
FLK6742Medicare PIN