=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750701249
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DESIREE OLGA GARZON D.P.M.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2014
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1325 S CONGRESS AVE STE 108
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33426-5802
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-369-3300
-----------------------------------------------------
Fax | 561-734-2811
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1325 S CONGRESS AVE STE 108
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33426-5802
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-369-3300
-----------------------------------------------------
Fax | 561-734-2811
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number | PO3608
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------