Healthcare Provider Details

I. General information

NPI: 1962961946
Provider Name (Legal Business Name): KAROLAIN GARCIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 6TH ST S
ST PETERSBURG FL
33701-4630
US

IV. Provider business mailing address

501 6TH ST S
ST PETERSBURG FL
33701-4630
US

V. Phone/Fax

Practice location:
  • Phone: 727-767-3679
  • Fax: 727-767-4391
Mailing address:
  • Phone: 727-767-3679
  • Fax: 727-767-4391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberMT228024
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberME160950
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: