Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | DO5497 | FL |
NPI | 1134690951 |
---|---|
Provider Name | Nashieli Garcia |
First Address | Miami, FL 33172-4013 |
Second Address | Miami, FL 33165-4477 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2018 |
Last Update Date | 06/12/2018 |