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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235104522 NPPES
Florida Other 14M8Q BCBS
Florida MEDICAID 0066090-00 BCBS

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