Provider Demographics
NPI:1073971024
Name:GARCIA RODRIGUEZ, JOHAN (ARNP)
Entity Type:Individual
Prefix:
First Name:JOHAN
Middle Name:
Last Name:GARCIA RODRIGUEZ
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 1:8181 NW 154TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5881
Mailing Address - Country:US
Mailing Address - Phone:305-558-3724
Mailing Address - Fax:786-260-0019
Practice Address - Street 1:1350 SW 57TH AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:WEST MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5775
Practice Address - Country:US
Practice Address - Phone:305-441-0744
Practice Address - Fax:305-262-8771
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9388776363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily