Provider Demographics
NPI:1952871147
Name:GARCIA, HOLLY BARBARA (MEDICAL FOSTER)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:BARBARA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MEDICAL FOSTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3118 CALLE LARGO DR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-7033
Mailing Address - Country:US
Mailing Address - Phone:954-802-1739
Mailing Address - Fax:
Practice Address - Street 1:3118 CALLE LARGO DR
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-7033
Practice Address - Country:US
Practice Address - Phone:954-649-0544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant