Provider Demographics
NPI:1982606463
Name:GARCIA, MARIA T (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:T
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:7101 SW 95TH ST
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-3036
Mailing Address - Country:US
Mailing Address - Phone:305-407-8824
Mailing Address - Fax:305-407-8028
Practice Address - Street 1:9299 SW 152ND ST STE 200
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1776
Practice Address - Country:US
Practice Address - Phone:305-407-8824
Practice Address - Fax:305-407-8028
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME90674208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL47755OtherBLUECROSS/BLUESHIELD PROV
FL270789600Medicaid
FLU0511ZMedicare PIN
FLH81798Medicare UPIN