Provider Demographics
NPI:1275529604
Name:GARCIA, SARA N (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:N
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7570 S FEDERAL HWY STE 3
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6060
Mailing Address - Country:US
Mailing Address - Phone:561-385-7499
Mailing Address - Fax:561-735-0896
Practice Address - Street 1:625 SE 2ND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-5065
Practice Address - Country:US
Practice Address - Phone:561-737-4500
Practice Address - Fax:561-735-0896
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2022-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA74261207R00000X
NY268104207R00000X
IL036.145514207R00000X
FLME62558207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL25084OtherBCBS
FL25084CMedicare ID - Type UnspecifiedMEDICARE
FLF43397Medicare UPIN