Healthcare Provider Details

I. General information

NPI: 1275806416
Provider Name (Legal Business Name): TANIA GARCIA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2012
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4105 PEMBROKE RD
HOLLYWOOD FL
33021-8103
US

IV. Provider business mailing address

4105 PEMBROKE RD
HOLLYWOOD FL
33021-8103
US

V. Phone/Fax

Practice location:
  • Phone: 954-593-2275
  • Fax:
Mailing address:
  • Phone: 954-593-2275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3158852
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: