MEDICARE: AMY ANN GARCIA P.A.-C

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	363A00000X	Physician Assistant	PA 9103809	FL

General Provider Information

NPI Number	:	1891705919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY ANN GARCIA P.A.-C

Provider Business Mailing Address
First Line	:	4700 N CONGRESS AVE
Second Line	:	SUITE 100
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3282
Country	:	US
Telephone Number	:	561-845-7770
Fax Number	:	561-842-2988

Provider Business Practice Location Address
First Line	:	4700 N CONGRESS AVE
Second Line	:	SUITE 100
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3282
Country	:	US
Telephone Number	:	561-845-7770
Fax Number	:	561-842-2988

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/09/2015

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