Healthcare Provider Details

I. General information

NPI: 1205832276
Provider Name (Legal Business Name): EDGAR R GARCIA ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 14TH ST STE 212
MIAMI FL
33136-2113
US

IV. Provider business mailing address

7421 NE 8TH AVE
MIAMI FL
33138-5223
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-7550
  • Fax: 305-243-7548
Mailing address:
  • Phone: 305-243-7550
  • Fax: 305-243-7548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP1843372
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberARNP1843372
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: