Provider Demographics
NPI:1558104364
Name:GARCES DE MARCILLA, DANIELLE F (DPT)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:F
Last Name:GARCES DE MARCILLA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10928 SW 135TH COURT CIR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-3341
Mailing Address - Country:US
Mailing Address - Phone:786-281-6892
Mailing Address - Fax:
Practice Address - Street 1:15449 SW 137TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1279
Practice Address - Country:US
Practice Address - Phone:305-602-7035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT39967225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist