MEDICARE: MICHELLE DANIELLE 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
1	363LA2100X	Acute Care Nurse Practitioner	11036574	FL

General Provider Information

NPI Number	:	1801611926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE DANIELLE GARCIA

Provider Business Mailing Address
First Line	:	16512 SW 97TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-5854
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16512 SW 97TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-5854
Country	:	US
Telephone Number	:	305-903-6111
Fax Number	:

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

Provider Enumeration Date	:	11/22/2024
Last Update Date	:	11/22/2024

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