Provider Demographics
NPI:1043585060
Name:GARCIA, ERIC (ARNP)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 SW 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3815
Mailing Address - Country:US
Mailing Address - Phone:305-915-3346
Mailing Address - Fax:
Practice Address - Street 1:1498 NW 54TH ST STE C
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142
Practice Address - Country:US
Practice Address - Phone:305-603-8200
Practice Address - Fax:305-603-8461
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-09
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9243110163W00000X
FLARNP9243110364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse