Healthcare Provider Details

I. General information

NPI: 1902332208
Provider Name (Legal Business Name): MANUEL GARRIDO DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2017
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8420 W FLAGLER ST STE 217
MIAMI FL
33144-2064
US

IV. Provider business mailing address

1345 ALTON RD
MIAMI BEACH FL
33139-3811
US

V. Phone/Fax

Practice location:
  • Phone: 305-673-0033
  • Fax: 305-673-9259
Mailing address:
  • Phone: 786-662-3893
  • Fax: 786-662-3899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO4180
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO4180
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: