Provider Demographics
NPI:1265910004
Name:JAVIER GARCIA, DNP MEDICAL OFFICE, INC
Entity type:Organization
Organization Name:JAVIER GARCIA, DNP MEDICAL OFFICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA ASENCIO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:305-987-4675
Mailing Address - Street 1:5021 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1411
Mailing Address - Country:US
Mailing Address - Phone:305-987-4675
Mailing Address - Fax:
Practice Address - Street 1:855 E 10TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4645
Practice Address - Country:US
Practice Address - Phone:305-987-4675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100498800Medicaid
FL025096600Medicaid