Healthcare Provider Details

I. General information

NPI: 1750832200
Provider Name (Legal Business Name): DARIO JAVIER GARCIA APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2016
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13302 WINDING OAK CT STE A
TAMPA FL
33612-3425
US

IV. Provider business mailing address

13302 WINDING OAK CT STE A
TAMPA FL
33612-3425
US

V. Phone/Fax

Practice location:
  • Phone: 786-808-8555
  • Fax: 786-360-1100
Mailing address:
  • Phone: 786-808-8555
  • Fax: 786-360-1100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9407361
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN9407361
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: