Individual
MR. CARLOS GARCIA LEIVA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5409 N. STATE ROAD 7, TAMARAC, FL 33319
(954) 526-9477
Mailing address
5409 N. STATE ROAD 7, TAMARAC, FL 33319
(954) 526-9477
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9246071
FL
Other
Enumeration date
07/01/2018
Last updated
07/01/2018
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