Individual
HORACIO GARCIA OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
8121 BERMUDA POINT LN, DAVIE, FL 33328-3023
(954) 475-4615
Mailing address
8121 BERMUDA POINT LN, DAVIE, FL 33328-3023
(954) 475-4615
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9100799
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290871900
—
FL
Enumeration date
12/07/2006
Last updated
10/26/2015
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