Individual
RAISA MARIA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 NW 82ND AVE, DORAL, FL 33126-1011
(786) 420-5924
(786) 542-5340
Mailing address
1905 NW 82ND AVE, DORAL, FL 33126-1011
(786) 420-5924
(786) 542-5340
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCMP101047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CBHCMP101047
FLORIDA CERTIFICATION BOARD
FL
Enumeration date
10/23/2020
Last updated
10/23/2020
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