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NPI Code Detail

MEDICARE: DR. SCARLETTE A GARCIA-AVILA MD

MEDICARE: DR. SCARLETTE A GARCIA-AVILA MD
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician96264GA

General Provider Information

NPI Number : 1104310093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCARLETTE A GARCIA-AVILA MD
Provider Business Mailing Address
First Line : 47 5TH ST NW
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-4672
Country : US
Telephone Number : 866-234-8534
Fax Number :
Provider Business Practice Location Address
First Line : 130 RIDGE CENTER DR
Second Line :
City : DAVENPORT
State : FL
Zip : 33837-6413
Country : US
Telephone Number : 866-234-8535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2018
Last Update Date : 04/24/2026

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