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NPI Code Detail

MEDICARE: JENAFER GARCIA ARNP

MEDICARE: JENAFER GARCIA ARNP
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
1363L00000XNurse PractitionerARNP9242439FL

Other Identifiers

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

General Provider Information

NPI Number : 1558774455
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENAFER GARCIA ARNP
Provider Business Mailing Address
First Line : 106 PARK PLACE BLVD STE C
Second Line :
City : DAVENPORT
State : FL
Zip : 33837-6868
Country : US
Telephone Number : 863-588-4775
Fax Number :
Provider Business Practice Location Address
First Line : 106 PARK PLACE BLVD STE C
Second Line :
City : DAVENPORT
State : FL
Zip : 33837-6868
Country : US
Telephone Number : 863-588-4775
Fax Number : 863-422-7664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2014
Last Update Date : 06/04/2019

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