Provider Demographics
NPI:1164719910
Name:GARCIA, MERCEDES (ANP-BC)
Entity Type:Individual
Prefix:
First Name:MERCEDES
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18743 SW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5934
Mailing Address - Country:US
Mailing Address - Phone:954-233-0913
Mailing Address - Fax:954-391-5011
Practice Address - Street 1:7401 N UNIVERSITY DR STE 103
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2933
Practice Address - Country:US
Practice Address - Phone:954-233-0913
Practice Address - Fax:954-591-5011
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9260510363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner