Healthcare Provider Details

I. General information

NPI: 1629079413
Provider Name (Legal Business Name): ADRIANA GARCIA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 01/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10967 LAKE UNDERHILL RD STE117
ORLANDO FL
32825-4457
US

IV. Provider business mailing address

10967 LAKE UNDERHILL RD STE 117
ORLANDO FL
32825-4457
US

V. Phone/Fax

Practice location:
  • Phone: 407-249-3016
  • Fax:
Mailing address:
  • Phone: 407-249-3016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP3293652
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: