Provider Demographics
NPI:1710619002
Name:GARIBALDI CONSULTING, LLC
Entity Type:Organization
Organization Name:GARIBALDI CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TRENAE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARIBALDI
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:504-371-2455
Mailing Address - Street 1:3479 NE 163RD ST UNIT 2223
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4426
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1865 79TH STREET CSWY
Practice Address - Street 2:
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4238
Practice Address - Country:US
Practice Address - Phone:504-371-2455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care