Provider Demographics
NPI:1831587559
Name:PIERRE-LOUIS, MARC-GARCIA SR (FNP)
Entity type:Individual
Prefix:
First Name:MARC-GARCIA
Middle Name:
Last Name:PIERRE-LOUIS
Suffix:SR
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7726 WINEGARD ROAD FL 2
Mailing Address - Street 2:SUITE 34
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-1612
Mailing Address - Country:US
Mailing Address - Phone:407-729-2050
Mailing Address - Fax:
Practice Address - Street 1:7726 WINEGARD ROAD FL 2
Practice Address - Street 2:SUITE 34
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-1612
Practice Address - Country:US
Practice Address - Phone:407-729-2050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9162744363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner