Healthcare Provider Details

I. General information

NPI: 1568388627
Provider Name (Legal Business Name): CLAUDIA ROSA GARCIA PAZ PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 NW 18TH PL
CAPE CORAL FL
33993-3816
US

IV. Provider business mailing address

2210 NW 18TH PL
CAPE CORAL FL
33993-3816
US

V. Phone/Fax

Practice location:
  • Phone: 786-250-9940
  • Fax:
Mailing address:
  • Phone: 786-250-9940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA33474
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: