Provider Demographics
NPI:1205475431
Name:RODRIGUEZ GARCIA, KARLA YANITZA (APRN)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:YANITZA
Last Name:RODRIGUEZ 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 1:2938 TANZANITE TER
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34758-2550
Mailing Address - Country:US
Mailing Address - Phone:939-383-9927
Mailing Address - Fax:
Practice Address - Street 1:2938 TANZANITE TER
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34758-2550
Practice Address - Country:US
Practice Address - Phone:939-383-9927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11005603363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11005603OtherSTATE LICENSE