Provider Demographics
NPI:1134116577
Name:GARNET, ROBERT I (DPM)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:I
Last Name:GARNET
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:305-670-8413
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:053-670-8411
Practice Address - Fax:053-670-8412
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO461213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL205887OtherAVMED
FL040957000Medicaid
FL87211YMedicare PIN
FL205887OtherAVMED