Eduardo Garrido Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9103256 Issued in FL

Practice address

818 Chestnut St
Clearwater, FL 33756-5642

Phone

(727) 443-7478

Fax

(813) 436-5459

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Family Medical Centers Inc

  • Medical Specialty Clinic/Center
  • Clearwater, FL
  • NPI 1952579344
  NPD Authorized official
• Aviva Healthcare Inc.

  • Specialist
  • Key West, FL
  • NPI 1861828063
  NPD (past) Authorized official
• Terra Ceia Emergency Physicians LLC

  • Emergency Medicine Physician
  • Sun City Center, FL
  • NPI 1184940843
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1154381580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 CHESTNUT ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565642",
            "telephone_number": "727-443-7478",
            "fax_number": "813-436-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 CHESTNUT ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565642",
            "telephone_number": "727-443-7478",
            "fax_number": "813-436-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIDO",
        "first_name": "EDUARDO",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9103256",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001163200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154381580",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicki Misner Garner, LMHC
• Erin E Garnett, PTA
• Joseph Garrard, CST/CSFA
• Kathleen Garrett
• Alex Garrido-Zambrano, M.D.
• Brenn Isidro Garriel, DPM
• Olivia Garris
• Rebecca Garrison
• Michael J Gars, DC
• Janet Ellen Garvey, A.R.N.P.

• Physician Assistant in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.