MEDICARE: TADY ISABEL GARCIA FNP

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	ARNP9244268	FL

General Provider Information

NPI Number	:	1871042127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TADY ISABEL GARCIA FNP

Provider Business Mailing Address
First Line	:	20143 NW 78TH CT
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-6638
Country	:	US
Telephone Number	:	786-999-4586
Fax Number	:

Provider Business Practice Location Address
First Line	:	20143 NW 78TH CT
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-6638
Country	:	US
Telephone Number	:	786-999-4586
Fax Number	:

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

Provider Enumeration Date	:	09/28/2016
Last Update Date	:	10/19/2016

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