Provider Demographics
NPI:1306822762
Name:OLINDE, JOHN GARNIER (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:GARNIER
Last Name:OLINDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:240 N WICKHAM RD STE 311
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-8661
Mailing Address - Country:US
Mailing Address - Phone:321-752-1660
Mailing Address - Fax:321-752-1551
Practice Address - Street 1:240 N WICKHAM RD STE 311
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-8661
Practice Address - Country:US
Practice Address - Phone:321-752-1660
Practice Address - Fax:321-752-1551
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME82820208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5902656OtherAETNA
FL226202OtherWELLCARE
FL2599706OtherAETNA
FL114393400Medicaid
FL5101992003OtherCIGNA
FLP00088729OtherRAILROAD MEDICARE
FL01105OtherBLUE CROSS BLUE SHIELD
FL262277700Medicaid
FL262277700Medicaid