Healthcare Provider Details

I. General information

NPI: 1669391413
Provider Name (Legal Business Name): SOPHIA DIANA GARCIA PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 W 8TH ST
JACKSONVILLE FL
32209-6511
US

IV. Provider business mailing address

1695 SW 116TH AVE
DAVIE FL
33325-4732
US

V. Phone/Fax

Practice location:
  • Phone: 954-829-6173
  • Fax:
Mailing address:
  • Phone: 954-829-6173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS70898
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: