MEDICARE: BOBBY C GARFINKEL DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DN11981	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26336	OTHER	FL	WELLCARE WP
2	224947	OTHER	FL	WELLCARE-LW
3	224949	OTHER	FL	WELLCARE-ORL
4	4337868	OTHER	FL	AETNA PPO
5	632700	OTHER	FL	AETNA HMO
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	69391	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1477580157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOBBY C GARFINKEL DMD

Provider Business Mailing Address
First Line	:	1573 W FAIRBANKS AVE
Second Line	:	SUITE 300
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4679
Country	:	US
Telephone Number	:	407-644-0224
Fax Number	:

Provider Business Practice Location Address
First Line	:	1573 W FAIRBANKS AVE
Second Line	:	SUITE 300
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4679
Country	:	US
Telephone Number	:	407-644-0224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	01/13/2010

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Directions to “ BOBBY C GARFINKEL DMD” Practice Location

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