Healthcare Provider Details

I. General information

NPI: 1144361528
Provider Name (Legal Business Name): ORLANDO GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF MIAMI EARLY STEPS PROGRAM 1601 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

UNIVERSITY OF MIAMI EARLY STEPS PROGRAM 1601 NW 12TH AVE
MIAMI FL
33136-1005
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-6660
  • Fax: 305-243-3501
Mailing address:
  • Phone: 305-243-6660
  • Fax: 305-243-3501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: