Individual
SARA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17 DAVIS BLVD STE 100, TAMPA, FL 33606-3468
(813) 259-8752
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-2812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
144645
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106634800
—
FL
01
—
3LMAU
BLUE CROSS BLUE SHIELD
FL
01
—
MR488
MEDICARE
FL
Enumeration date
04/03/2017
Last updated
10/27/2020
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