Provider Demographics
NPI:1558052340
Name:GARCIA SURIEL, CANDY PAOLA (APRN FNP)
Entity Type:Individual
Prefix:
First Name:CANDY
Middle Name:PAOLA
Last Name:GARCIA SURIEL
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7141 SW 12TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33023-2005
Mailing Address - Country:US
Mailing Address - Phone:130-571-0818
Mailing Address - Fax:
Practice Address - Street 1:7141 SW 12TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33023-2005
Practice Address - Country:US
Practice Address - Phone:305-710-8181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11026324363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily