Provider Demographics
NPI:1619353711
Name:GARCIA, YANY SR (MBA)
Entity Type:Individual
Prefix:
First Name:YANY
Middle Name:
Last Name:GARCIA
Suffix:SR
Gender:M
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 N GOLDEROD RD
Mailing Address - Street 2:2
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807
Mailing Address - Country:US
Mailing Address - Phone:407-432-1829
Mailing Address - Fax:
Practice Address - Street 1:5272 LONG RD
Practice Address - Street 2:APT F
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-1109
Practice Address - Country:US
Practice Address - Phone:407-432-1829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator