MEDICARE: MRS. PEARL COLOMA GARCIA DNP

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	ARNP 3191172	FL

General Provider Information

NPI Number	:	1851394787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PEARL COLOMA GARCIA DNP

Provider Business Mailing Address
First Line	:	2030 STONECROSS CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-7931
Country	:	US
Telephone Number	:	407-929-7814
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 STONE CROSS CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828
Country	:	US
Telephone Number	:	407-929-7814
Fax Number	:

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	02/18/2014

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