Healthcare Provider Details

I. General information

NPI: 1992639801
Provider Name (Legal Business Name): LIZMARA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3921 SW 160TH AVE APT 103
MIRAMAR FL
33027-4673
US

IV. Provider business mailing address

3921 SW 160TH AVE APT 103
MIRAMAR FL
33027-4673
US

V. Phone/Fax

Practice location:
  • Phone: 786-784-5786
  • Fax: 786-784-5786
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: