Individual
SHELLY A GARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4670 BABCOCK ST NE, PALM BAY, FL 32905-2841
(321) 723-3498
(321) 723-2761
Mailing address
4670 BABCOCK ST NE, PALM BAY, FL 32905-2841
(321) 723-3498
(321) 723-2761
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65506
BLUE CROSS BLUE SHEILD
FL
Enumeration date
01/30/2006
Last updated
05/14/2008
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