Provider Demographics
NPI:1053352062
Name:GARIN, EDUARDO H (MD)
Entity type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:H
Last Name:GARIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:EDUARDO
Other - Middle Name:H
Other - Last Name:GARIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 918205
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-8205
Mailing Address - Country:US
Mailing Address - Phone:352-273-9180
Mailing Address - Fax:
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3003
Practice Address - Country:US
Practice Address - Phone:352-273-9180
Practice Address - Fax:352-392-7101
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME227432080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL036416900Medicaid
C61379Medicare UPIN
FL036416900Medicaid