Provider Demographics
NPI:1467621672
Name:GARCIA, DANIEL HUMBERTO (PT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:HUMBERTO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4622 SW 45TH LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-4948
Mailing Address - Country:US
Mailing Address - Phone:352-219-7456
Mailing Address - Fax:
Practice Address - Street 1:3951 NW 48TH TER
Practice Address - Street 2:SUITE 111
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7228
Practice Address - Country:US
Practice Address - Phone:352-265-9100
Practice Address - Fax:352-265-9101
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 229152251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic