Healthcare Provider Details
I. General information
NPI: 1326275579
Provider Name (Legal Business Name): YOLARIS GARCIA CHIROPRACTIC CENTER, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2009
Last Update Date: 05/12/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
980 NE 126TH ST
NORTH MIAMI FL
33161-4908
US
IV. Provider business mailing address
980 NE 126TH ST
NORTH MIAMI FL
33161-4908
US
V. Phone/Fax
- Phone: 305-981-0899
- Fax: 305-981-9224
- Phone: 305-981-0899
- Fax: 305-981-9224
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH9466 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
YOLARIS
GARCIA
Title or Position: CHIROPRACTOR/OWNER
Credential: D.C.
Phone: 305-981-0899