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NPI Code Detail

MEDICARE: MADELYN ROQUE GARCIA

MEDICARE:   MADELYN  ROQUE 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
1363LF0000XFamily Nurse Practitioner11039896FL

General Provider Information

NPI Number : 1356138911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELYN ROQUE GARCIA
Provider Business Mailing Address
First Line : 8630 NW 11TH CT
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-4812
Country : US
Telephone Number : 786-414-6546
Fax Number :
Provider Business Practice Location Address
First Line : 8630 NW 11TH CT
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-4812
Country : US
Telephone Number : 786-414-6546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2025
Last Update Date : 07/14/2025

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Directions to “ MADELYN ROQUE GARCIA ” Practice Location

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