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NPI Code Detail

MEDICARE: MRS. GERTRUDIS CLARA GARCIA MS

MEDICARE: MRS. GERTRUDIS CLARA GARCIA MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistIMT 658FL
2103K00000XBehavior Analyst1-20-41101FL

General Provider Information

NPI Number : 1003028804
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GERTRUDIS CLARA GARCIA MS
Provider Business Mailing Address
First Line : 15681 SW 18TH LN
Second Line :
City : MIAMI
State : FL
Zip : 33185-5819
Country : US
Telephone Number : 305-975-9884
Fax Number :
Provider Business Practice Location Address
First Line : 4800 W FLAGLER ST STE 215
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1402
Country : US
Telephone Number : 954-368-4786
Fax Number : 954-368-4101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 03/12/2026

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