Healthcare Provider Details

I. General information

NPI: 1093725236
Provider Name (Legal Business Name): KENNETH J GARROD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7815 CHARNEY LN
BOCA RATON FL
33496-1327
US

IV. Provider business mailing address

7815 CHARNEY LN
BOCA RATON FL
33496-1327
US

V. Phone/Fax

Practice location:
  • Phone: 561-703-4057
  • Fax: 561-922-6838
Mailing address:
  • Phone: 561-703-4057
  • Fax: 561-922-6838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME44003
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME44003
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: