MEDICARE: OLGA L 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	347C00000X	Private Vehicle
2	372500000X	Chore Provider
3	372600000X	Adult Companion	230714	FL
4	376K00000X	Nurse's Aide	230714	FL

General Provider Information

NPI Number	:	1851019939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA L GARCIA

Provider Business Mailing Address
First Line	:	128 LAKE FRANCES DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2322
Country	:	US
Telephone Number	:	561-713-0296
Fax Number	:

Provider Business Practice Location Address
First Line	:	128 LAKE FRANCES DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2322
Country	:	US
Telephone Number	:	561-713-0296
Fax Number	:

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

Provider Enumeration Date	:	08/16/2022
Last Update Date	:	08/16/2022

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