MEDICARE: MS. AMANDA C GARCIA MS, OTR/L

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
1	225X00000X	Occupational Therapist	OT15846	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437584455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMANDA C GARCIA MS, OTR/L

Provider Business Mailing Address
First Line	:	8340 SW 96TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-2451
Country	:	US
Telephone Number	:	305-815-7485
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 W FLAGLER ST STE 103
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2157
Country	:	US
Telephone Number	:	305-456-9484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2013
Last Update Date	:	08/23/2023

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