Individual ProviderJohn P GirardInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2499 Glades Rd, Suite 301, Boca Raton, FL 33431-7209(561) 750-9900PECOS EnrollmentBased on the most recent information from CMS, provider John P Girard does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1467565994Provider TypeIndividualFull NameGirard, John PCredentialMDGenderMaleSole ProprietorYesEnumeration Date8/17/2006Last Updated4/21/2014Contact InformationPractice LocationPractice Address2499 Glades Rd, Suite 301, Boca Raton, FL 33431-7209Phone(561) 750-9900Fax(561) 368-7790Mailing LocationMailing Address2499 Glades Rd, Suite 301, Boca Raton, FL 33431-7209Phone(561) 750-9900Fax(561) 368-7790Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME0049001FloridaProvider IdentifiersIDDescriptionIssuerID02108DescriptionOtherIssuerBCBSFloridaID0367591DescriptionOtherIssuerCIGNAFloridaID60650DescriptionOtherIssuerNEIGHBORHOODFloridaID2494943DescriptionOtherIssuerAETNAFloridaID104722DescriptionOtherIssuerAVMEDFloridaIDA86715DescriptionOtherIssuerVISTAFlorida