Healthcare Provider Details

I. General information

NPI: 1295329175
Provider Name (Legal Business Name): DANIEL M GARCIA NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2021
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5740 NW 183RD ST
HIALEAH FL
33015-6021
US

IV. Provider business mailing address

5740 NW 183RD ST
HIALEAH FL
33015-6021
US

V. Phone/Fax

Practice location:
  • Phone: 305-722-8565
  • Fax:
Mailing address:
  • Phone: 305-722-8565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN11012128
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: