MEDICARE: MR. ARMANDO GARCIA PHYSICIAN ASSISTANT

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	363AM0700X	Medical Physician Assistant	PA9109773	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	:	1508314196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARMANDO GARCIA PHYSICIAN ASSISTANT

Provider Business Mailing Address
First Line	:	1092 BASS POINT RD
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-3225
Country	:	US
Telephone Number	:	305-336-9010
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 NW 54TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-2946
Country	:	US
Telephone Number	:	305-633-9090
Fax Number	:

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

Provider Enumeration Date	:	09/13/2016
Last Update Date	:	09/13/2016

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