Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP1843372 | FL |
N | 363LN0000X | Nurse Practitioner - Neonatal | ARNP1843372 | FL |
NPI | 1205832276 |
---|---|
Provider Name | Mr. Edgar R Garcia |
First Address | Miami, FL 33138-5223 |
Second Address | Miami, FL 33136-2113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2005 |
Last Update Date | 09/07/2007 |