Healthcare Provider Details
I. General information
NPI: 1881032258
Provider Name (Legal Business Name): SARA N GARCIA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2013
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7570 S FEDERAL HWY STE 3
LANTANA FL
33462-6060
US
IV. Provider business mailing address
7570 S FEDERAL HWY STE 3
LANTANA FL
33462-6060
US
V. Phone/Fax
- Phone: 561-385-7499
- Fax: 561-735-0896
- Phone: 561-385-7499
- Fax: 561-735-0896
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | ME062558 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
SARA
N
GARCIA
Title or Position: PRESIDENT
Credential: MD
Phone: 561-737-4500