# AMILYS GARCIA MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902448228
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME90674 | FL | — |
| 363L00000X | Nurse Practitioner | 11004867 | FL | Yes |

## Other

- **Enumeration date:** 10/09/2019
- **Last updated:** 04/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G625000785070 | DRIVERS LICENSE | FL |