Individual
NYDIA T GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1239 E MAIN ST, BARTOW, FL 33830-5058
(863) 519-0575
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
781
CERTIFIED BEHAVIORAL HEALTH TECHNICIAN
FL
Enumeration date
02/25/2015
Last updated
03/03/2015
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