Provider Demographics
NPI:1659859007
Name:GALAN GARCIA, ELIOSDANIS (DNP)
Entity Type:Individual
Prefix:DR
First Name:ELIOSDANIS
Middle Name:
Last Name:GALAN GARCIA
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8870 FONTAINEBLEAU BLVD APT 513
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4462
Mailing Address - Country:US
Mailing Address - Phone:954-696-8664
Mailing Address - Fax:
Practice Address - Street 1:8870 FONTAINEBLEAU BLVD APT 513
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4462
Practice Address - Country:US
Practice Address - Phone:954-696-8664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-29
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF07181591363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner