Healthcare Provider Details

I. General information

NPI: 1518873348
Provider Name (Legal Business Name): YOAN GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 S STATE ROAD 7
DAVIE FL
33314-4647
US

IV. Provider business mailing address

6841 NW 173RD DR APT 207
HIALEAH FL
33015-6510
US

V. Phone/Fax

Practice location:
  • Phone: 954-487-1663
  • Fax: 954-487-1664
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA25659
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: