MEDICARE: DARIO JAVIER GARCIA APRN

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	363LG0600X	Gerontology Nurse Practitioner	APRN9407361	FL
2	363L00000X	Nurse Practitioner	APRN9407361	FL

General Provider Information

NPI Number	:	1750832200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARIO JAVIER GARCIA APRN

Provider Business Mailing Address
First Line	:	13302 WINDING OAK CT STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3425
Country	:	US
Telephone Number	:	786-808-8555
Fax Number	:	786-360-1100

Provider Business Practice Location Address
First Line	:	13302 WINDING OAK CT STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3425
Country	:	US
Telephone Number	:	786-808-8555
Fax Number	:	786-360-1100

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

Provider Enumeration Date	:	10/19/2016
Last Update Date	:	10/18/2024

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