Provider Demographics
NPI:1194731729
Name:GARNER, CURTIS EDSEL (DC)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:EDSEL
Last Name:GARNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8228 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-4124
Mailing Address - Country:US
Mailing Address - Phone:305-403-2595
Mailing Address - Fax:305-403-1022
Practice Address - Street 1:10715 SW 113TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-3245
Practice Address - Country:US
Practice Address - Phone:786-303-3330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8096111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU1935ZMedicare ID - Type Unspecified