Enad, Jerome Garciano
Enad, Jerome Garciano is an individual health care provider with primary practice located at 3871 E Highway 98 Suite 202, Port St Joe FL 32456-5301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Enad, Jerome Garciano can be contacted via phone (850) 229-5792.Contact Information
Primary practice address
3871 E Highway 98 Suite 202
Port St Joe FL 32456-5301
Phone: (850) 229-5792
Fax: (850) 229-5662
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ME112561 | Florida |
Profile Details
NPI number | 1235104522 |
---|---|
LBN Legal business name | Enad, Jerome Garciano |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2006 |
Last updated | Nov 16th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235104522 | NPPES |
Florida | Other | 14M8Q | BCBS |
Florida | MEDICAID | 0066090-00 | BCBS |
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