Individual
ILEANA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 SW 20TH ST, MIAMI, FL 33145-2340
(786) 286-3406
Mailing address
2900 SW 20 STREET, MIAMI, FL 33145-2340
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
58925
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692086179
—
FL
Enumeration date
05/21/2012
Last updated
05/21/2012
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