Individual
DESIREE FABIOLA GARCIA ANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5215
Mailing address
1400 NW 10TH AVE, MIAMI, FL 33136-1000
(305) 585-5215
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TRN16482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07474850
—
MS
Enumeration date
06/20/2011
Last updated
06/27/2017
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