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NPI Code Detail

MEDICARE: EDUARDO J GARRIDO DC PA

MEDICARE: EDUARDO J GARRIDO DC PA
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
1111NI0013XIndependent Medical Examiner ChiropractorCH7995FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
153948OTHERFLBLUE CROSS, BLUE SHIELD

General Provider Information

NPI Number : 1619248051
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDUARDO J GARRIDO DC PA
Provider Business Mailing Address
First Line : 755 E 8TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4613
Country : US
Telephone Number : 305-884-3334
Fax Number : 305-885-3334
Provider Business Practice Location Address
First Line : 755 E 8TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4613
Country : US
Telephone Number : 305-884-3334
Fax Number : 305-885-3334
Authorized Official
Title or Position : CHIROPRACTOR
Name : EDUARDO J GARRIDO
Credential : DC
Telephone Number : 305-884-3334
Provider Enumeration Date : 01/17/2012
Last Update Date : 10/30/2013

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