MEDICARE: JAVIER GARCIA PSYCHIATRY & WELLNESS CENTER

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1700713690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAVIER GARCIA PSYCHIATRY & WELLNESS CENTER

Provider Business Mailing Address
First Line	:	4800 NE 20TH TER STE 101
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4510
Country	:	US
Telephone Number	:	754-200-6565
Fax Number	:	954-566-2150

Provider Business Practice Location Address
First Line	:	4800 NE 20TH TER STE 101
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4510
Country	:	US
Telephone Number	:	754-200-6565
Fax Number	:	954-566-2150

Authorized Official
Title or Position	:	OWNER AND CLINICAL DIRECTOR
Name	:	JAVIER ENRIQUE GARCIA
Credential	:	PMHNP
Telephone Number	:	754-200-6565

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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