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NPI 1700713690

NPI 1700713690 : JAVIER GARCIA PSYCHIATRY & WELLNESS CENTER : FORT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1700713690
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    Entity Type          |    Organization 
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    Legal Business Name  |    JAVIER GARCIA PSYCHIATRY & WELLNESS CENTER 
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Dates
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    Enumeration Date     |    05/06/2026
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    Last Update Date     |    05/06/2026
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Provider Practice Location Address
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    Address Line         |    4800 NE 20TH TER STE 101 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33308-4510
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    Country              |    US
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    Telephone            |    754-200-6565
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    Fax                  |    954-566-2150
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Provider Business Mailing Address
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    Address Line         |    4800 NE 20TH TER STE 101 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33308-4510
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    Country              |    US
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    Telephone            |    754-200-6565
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    Fax                  |    954-566-2150
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Authorized Official
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    Title or Position    |    OWNER AND CLINICAL DIRECTOR
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    Name                 |     JAVIER ENRIQUE GARCIA 
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    Credential           |    PMHNP
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    Telephone            |    754-200-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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