Provider Demographics
NPI:1871042127
Name:GARCIA, TADY ISABEL (FNP)
Entity Type:Individual
Prefix:
First Name:TADY
Middle Name:ISABEL
Last Name:GARCIA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20143 NW 78TH CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6638
Mailing Address - Country:US
Mailing Address - Phone:786-999-4586
Mailing Address - Fax:
Practice Address - Street 1:5480 GRIFFIN RD
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-4539
Practice Address - Country:US
Practice Address - Phone:954-210-9770
Practice Address - Fax:954-210-9771
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-28
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9244268363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily