MEDICARE: ANGELINA GARCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT19321	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT19321	OTHER	FL	LICENSE#
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225148984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELINA GARCIA

Provider Business Mailing Address
First Line	:	11529 SW 51ST CT
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33330-4256
Country	:	US
Telephone Number	:	305-773-1293
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 NW 70TH AVE STE A
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-2349
Country	:	US
Telephone Number	:	547-412-2219
Fax Number	:	954-741-2155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	09/18/2025

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Directions to “ ANGELINA GARCIA ” Practice Location

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