Provider Demographics
NPI:1508806795
Name:CASSATA-GARCIA, AMY J
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:J
Last Name:CASSATA-GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 SW 127TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-5511
Mailing Address - Country:US
Mailing Address - Phone:305-984-5946
Mailing Address - Fax:305-220-2084
Practice Address - Street 1:6650 SW 127TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-5511
Practice Address - Country:US
Practice Address - Phone:305-984-5946
Practice Address - Fax:305-220-2084
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS24264183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist