Healthcare Provider Details

I. General information

NPI: 1487236394
Provider Name (Legal Business Name): EDUARDO GARCIA ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11735 SW 147TH AVE UNIT 16
MIAMI FL
33196-3330
US

IV. Provider business mailing address

6355 NW 36TH ST STE 1100
VIRGINIA GARDENS FL
33166-7059
US

V. Phone/Fax

Practice location:
  • Phone: 786-953-8200
  • Fax: 786-322-2317
Mailing address:
  • Phone: 786-233-6981
  • Fax: 786-322-2317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11012351
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: