Provider Demographics
NPI:1326813239
Name:GARCIA MARQUEZ, MISLEYDI (APRN)
Entity Type:Individual
Prefix:
First Name:MISLEYDI
Middle Name:
Last Name:GARCIA MARQUEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10257 NW 128TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-6007
Mailing Address - Country:US
Mailing Address - Phone:786-427-9497
Mailing Address - Fax:
Practice Address - Street 1:10257 NW 128TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-6007
Practice Address - Country:US
Practice Address - Phone:786-427-9497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily