Individual
JEROME GARCIANO ENAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3871 E HIGHWAY 98, SUITE 202, PORT ST JOE, FL 32456-5301
(850) 229-5792
(850) 229-5662
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 229-5792
(850) 229-5662
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME112561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066090-00
—
FL
01
—
14M8Q
BCBS
FL
Enumeration date
02/21/2006
Last updated
11/16/2015
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