MEDICARE: GILMA GARCIA RODRIGUEZ

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	363LF0000X	Family Nurse Practitioner	APRN11031768	FL

General Provider Information

NPI Number	:	1730947854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILMA GARCIA RODRIGUEZ

Provider Business Mailing Address
First Line	:	5867 NOTTINGHAM RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-6363
Country	:	US
Telephone Number	:	561-215-5217
Fax Number	:

Provider Business Practice Location Address
First Line	:	5867 NOTTINGHAM RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-6363
Country	:	US
Telephone Number	:	561-215-5217
Fax Number	:

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

Provider Enumeration Date	:	03/12/2024
Last Update Date	:	03/12/2024

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