Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 0069428 | FL |
NPI | 1013000843 |
---|---|
Provider Name | Rolando Garcia |
First Address | Aventura, FL 33180-1421 |
Second Address | Aventura, FL 33180-1421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 13/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G27828 | (02) | FL |