Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DN18385 | FL |
NPI | 1023254182 |
---|---|
Provider Name | Dr. Ana V Garcia |
First Address | Orlando, FL 32837-6915 |
Second Address | Orlando, FL 32837-6915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2008 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001632800 | (05) | FL |