Healthcare Provider Details

I. General information

NPI: 1346040631
Provider Name (Legal Business Name): STEPHANIE GARCIA OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16800 NW 2ND AVE STE 301
NORTH MIAMI BEACH FL
33169-5508
US

IV. Provider business mailing address

8109 CRESPI BLVD
MIAMI FL
33141-1511
US

V. Phone/Fax

Practice location:
  • Phone: 786-206-4151
  • Fax:
Mailing address:
  • Phone: 786-359-6586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number25997
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: