Provider Demographics
NPI:1598523813
Name:ARIAS GARCIA, LISBET DE LA CARIDAD (APRN)
Entity Type:Individual
Prefix:
First Name:LISBET
Middle Name:DE LA CARIDAD
Last Name:ARIAS 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 1:1610 SCARBROUGH ABBY PL
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-3905
Mailing Address - Country:US
Mailing Address - Phone:786-870-8883
Mailing Address - Fax:
Practice Address - Street 1:7200 CURRY FORD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-5806
Practice Address - Country:US
Practice Address - Phone:786-558-5772
Practice Address - Fax:786-513-3731
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11023475363L00000X
FLF11220827363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner