Healthcare Provider Details

I. General information

NPI: 1891612404
Provider Name (Legal Business Name): ARIEL F GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2227 S BABCOCK ST STE 13D
MELBOURNE FL
32901-5305
US

IV. Provider business mailing address

1880 MOGRA CIR NE APT 235
PALM BAY FL
32905-3064
US

V. Phone/Fax

Practice location:
  • Phone: 321-677-2222
  • Fax:
Mailing address:
  • Phone: 321-978-6577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number1613535
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: