Doctor Name: | GREGOIRE GARCON |
NPI Number: | 1104961184 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | PO2497 |
Business Practice Address: | 612 S State Road 7 Margate, FL - 330681734 |
Business Phone Number: | 9545351919 |
Business Fax Number: | 9549733514 |
Mailing Address: | 612 S State Road 7, MARGATE |
State: | FL |
Postal Code: | 330681734 |
Phone Number: | 9545351919 |
Fax Number: | 9549733514 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 12/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO2497 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |