Healthcare Provider Details

I. General information

NPI: 1568090751
Provider Name (Legal Business Name): GERMAN ALFONSO GARZA GARCIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 UNDERWOOD ST STE 200
ORLANDO FL
32806-1110
US

IV. Provider business mailing address

76 UNDERWOOD ST STE 200
ORLANDO FL
32806-1110
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-2800
  • Fax:
Mailing address:
  • Phone: 321-841-2800
  • Fax: 321-843-8777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME183094
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: