Provider Demographics
NPI:1265751499
Name:GARCIA, LUISA CLEMENCIA (APRN, FNP-C PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LUISA
Middle Name:CLEMENCIA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:APRN, FNP-C PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 N UNIVERSITY DR STE 500-002
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2002
Mailing Address - Country:US
Mailing Address - Phone:239-790-8822
Mailing Address - Fax:561-257-3956
Practice Address - Street 1:261 N UNIVERSITY DR STE 500-002
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2002
Practice Address - Country:US
Practice Address - Phone:239-790-8822
Practice Address - Fax:561-257-3956
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9233621363LF0000X
FLAPRN9233621363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily