Garzon, Desiree Olga
Garzon, Desiree Olga is an sole proprietor health care provider with primary practice located at 1325 S Congress Ave Ste 108 , Boynton Beach FL 33426-5802. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Garzon, Desiree Olga can be contacted via phone (561) 369-3300.Contact Information
Primary practice address
1325 S Congress Ave Ste 108
Boynton Beach FL 33426-5802
Phone: (561) 369-3300
Fax: (561) 734-2811
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO3608 | Florida |
Profile Details
NPI number | 1750701249 |
---|---|
LBN Legal business name | Garzon, Desiree Olga |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 23rd, 2014 |
Last updated | Sep 22nd, 2022 - about 2 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 | 1750701249 | NPPES |
Florida | MEDICAID | 013076100 |
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