Healthcare Provider Details

I. General information

NPI: 1831723923
Provider Name (Legal Business Name): DANIEL GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2020
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3328 BLUFFVIEW DR
SPRING HILL FL
34609-2724
US

IV. Provider business mailing address

3328 BLUFFVIEW DR
SPRING HILL FL
34609
US

V. Phone/Fax

Practice location:
  • Phone: 719-322-1586
  • Fax:
Mailing address:
  • Phone: 719-322-1586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: