MEDICARE: SANDRA GARCIA MA

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	225700000X	Massage Therapist	51714	FL

General Provider Information

NPI Number	:	1689855538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA GARCIA MA

Provider Business Mailing Address
First Line	:	7210 N MANHATTAN AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-3703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2702 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1837
Country	:	US
Telephone Number	:	813-935-7490
Fax Number	:

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

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	11/27/2007

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