Garriel, Brenn Isidro

Garriel, Brenn Isidro is an individual health care provider with primary practice located at 13600 Icot Blvd Bldg A , Clearwater FL 33760-3703. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Garriel, Brenn Isidro can be contacted via phone (727) 796-6900.

Contact Information

Primary practice address
13600 Icot Blvd Bldg A Clearwater FL 33760-3703
Fax: (727) 669-8417
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO3353 Florida

Profile Details

NPI number 1649413378
LBN Legal business name Garriel, Brenn Isidro
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2009
Last updated Jun 19th, 2020 - about 4 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 1649413378 NPPES
Florida MEDICAID 008331800

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