Individual
IVAN GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
8500 SW 149TH AVE APT 1203, MIAMI, FL 33193-1444
(787) 601-7887
Mailing address
8500 SW 149TH AVE APT 1203, MIAMI, FL 33193-1444
(787) 601-7887
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001423
PR
363A00000X
Physician Assistant
001423-PA
PR
363AM0700X
Medical Physician Assistant
001423-PA
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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