Healthcare Provider Details

I. General information

NPI: 1194538652
Provider Name (Legal Business Name): MICHELLE GARCIA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8740 BIRD RD
MIAMI FL
33165-5470
US

IV. Provider business mailing address

970 SW 147TH CT
MIAMI FL
33194-2915
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number677565
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: