Provider Demographics
NPI:1043312143
Name:GARCIA, ALLEN (DC)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 SW 67TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7702
Mailing Address - Country:US
Mailing Address - Phone:305-666-8883
Mailing Address - Fax:305-666-8888
Practice Address - Street 1:8000 SW 67TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-7702
Practice Address - Country:US
Practice Address - Phone:305-666-8883
Practice Address - Fax:305-666-8888
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU0301ZMedicare ID - Type Unspecified