Provider Demographics
NPI:1205832276
Name:GARCIA, EDGAR R (ARNP)
Entity Type:Individual
Prefix:MR
First Name:EDGAR
Middle Name:R
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 1:7421 NE 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-5223
Mailing Address - Country:US
Mailing Address - Phone:305-243-7550
Mailing Address - Fax:305-243-7548
Practice Address - Street 1:1150 NW 14TH ST
Practice Address - Street 2:STE 212
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2113
Practice Address - Country:US
Practice Address - Phone:305-243-7550
Practice Address - Fax:305-243-7548
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1843372363LF0000X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal