Provider Demographics
NPI:1124358775
Name:GARCIA, JUDDIE MELIZZA MUNAR (ARNP, PNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JUDDIE
Middle Name:MELIZZA MUNAR
Last Name:GARCIA
Suffix:
Gender:F
Credentials:ARNP, PNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 277279
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-7279
Mailing Address - Country:US
Mailing Address - Phone:800-243-3839
Mailing Address - Fax:855-527-5510
Practice Address - Street 1:700 N HIATUS RD STE 216
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-5206
Practice Address - Country:US
Practice Address - Phone:954-433-5300
Practice Address - Fax:954-433-5340
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9243314363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics