Provider Demographics
NPI:1922784602
Name:GARCIA, DEOMAR CRISTINA (APRN, MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:DEOMAR
Middle Name:CRISTINA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:APRN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20789 NE 5TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3553
Mailing Address - Country:US
Mailing Address - Phone:754-368-2508
Mailing Address - Fax:
Practice Address - Street 1:20789 NE 5TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-3553
Practice Address - Country:US
Practice Address - Phone:754-368-2508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11024541363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily