Healthcare Provider Details

I. General information

NPI: 1386460368
Provider Name (Legal Business Name): LAYNELIS GARCIA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2024
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 NE 24TH AVE
CAPE CORAL FL
33909-2809
US

IV. Provider business mailing address

222 NE 24TH AVE
CAPE CORAL FL
33909-2809
US

V. Phone/Fax

Practice location:
  • Phone: 239-258-7471
  • Fax:
Mailing address:
  • Phone: 239-258-7471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: