MEDICARE: CARLOS ALBERTO GARCIA NP

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	363LF0000X	Family Nurse Practitioner	11010918	FL

General Provider Information

NPI Number	:	1477227981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS ALBERTO GARCIA NP

Provider Business Mailing Address
First Line	:	1515 N FLAGLER DR STE 101
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3429
Country	:	US
Telephone Number	:	561-642-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 45TH ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2416
Country	:	US
Telephone Number	:	561-904-7900
Fax Number	:

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

Provider Enumeration Date	:	08/07/2021
Last Update Date	:	08/07/2021

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