Provider Demographics
NPI:1568113355
Name:SOBREDO GARCIA, ANABEL (APRN)
Entity Type:Individual
Prefix:
First Name:ANABEL
Middle Name:
Last Name:SOBREDO GARCIA
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 1:9380 W FLAGLER ST APT 121
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3400
Mailing Address - Country:US
Mailing Address - Phone:561-506-8328
Mailing Address - Fax:
Practice Address - Street 1:9380 W FLAGLER ST APT 121
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3400
Practice Address - Country:US
Practice Address - Phone:561-506-8328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2023-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11017368207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine