Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | ME95374 | FL |
NPI | 1003841495 |
---|---|
Provider Name | Dr. Cristina P Garcia |
First Address | Orlando, FL 32806-5412 |
Second Address | Orlando, FL 32806-5412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I60198 | (02) | FL |