Provider Demographics
NPI:1508203613
Name:GARCIA, SERGIO (AP)
Entity Type:Individual
Prefix:
First Name:SERGIO
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 CORAL SPRINGS DR
Mailing Address - Street 2:APT 312
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3882
Mailing Address - Country:US
Mailing Address - Phone:954-755-3213
Mailing Address - Fax:
Practice Address - Street 1:2300 GLADES RD
Practice Address - Street 2:SUITE 430 W
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7386
Practice Address - Country:US
Practice Address - Phone:954-755-3213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-30
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3190171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist