Healthcare Provider Details

I. General information

NPI: 1265379721
Provider Name (Legal Business Name): HILDA ROSA GARNER P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12661 NW 32ND MNR
SUNRISE FL
33323-6351
US

IV. Provider business mailing address

12661 NW 32ND MNR
SUNRISE FL
33323-6351
US

V. Phone/Fax

Practice location:
  • Phone: 305-926-2421
  • Fax:
Mailing address:
  • Phone: 305-926-2421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3062
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: