MEDICARE: DR. JOHN GARNIER OLINDE MD

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	208600000X	Surgery Physician	ME82820	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00088729	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5902656	OTHER	FL	AETNA
2	226202	OTHER	FL	WELLCARE
3	2599706	OTHER	FL	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	5101992003	OTHER	FL	CIGNA
7	01105	OTHER	FL	BLUE CROSS BLUE SHIELD
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306822762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN GARNIER OLINDE MD

Provider Business Mailing Address
First Line	:	240 N WICKHAM RD STE 311
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-8661
Country	:	US
Telephone Number	:	321-752-1660
Fax Number	:	321-752-1551

Provider Business Practice Location Address
First Line	:	240 N WICKHAM RD STE 311
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-8661
Country	:	US
Telephone Number	:	321-752-1660
Fax Number	:	321-752-1551

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

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	03/31/2025

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Directions to “ DR. JOHN GARNIER OLINDE MD” Practice Location

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