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NPI Code Detail

MEDICARE: KRISTIAN JOSE GARCIA

MEDICARE: KRISTIAN JOSE GARCIA
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
1225700000XMassage TherapistMA100045FL

General Provider Information

NPI Number : 1700525755
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIAN JOSE GARCIA
Provider Business Mailing Address
First Line : 3531 NW 94TH AVE
Second Line :
City : SUNRISE
State : FL
Zip : 33351-6434
Country : US
Telephone Number : 954-681-6514
Fax Number :
Provider Business Practice Location Address
First Line : 10850 WILES RD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-2011
Country : US
Telephone Number : 954-681-6514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2022
Last Update Date : 04/16/2024

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Directions to “ KRISTIAN JOSE GARCIA ” Practice Location

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