Provider Demographics
NPI:1336603349
Name:GARCIA-GODOY, D.O., LLC
Entity Type:Organization
Organization Name:GARCIA-GODOY, D.O., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA-GODOY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-856-1002
Mailing Address - Street 1:6365 COLLINS AVE APT 1409
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-9612
Mailing Address - Country:US
Mailing Address - Phone:305-856-1002
Mailing Address - Fax:
Practice Address - Street 1:3181 CORAL WAY STE 301
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-3249
Practice Address - Country:US
Practice Address - Phone:305-856-1002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE