Garcia, Johannie
Garcia, Johannie is an sole proprietor health care provider with primary practice located at 910 S. Winterhawk Dr. # 107 , St Augustine FL 32086-3858. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Garcia, Johannie can be contacted via phone (904) 826-7886.Contact Information
Primary practice address
910 S. Winterhawk Dr. # 107
St Augustine FL 32086-3858
Phone: (904) 826-7886
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 12653 | Florida |
Profile Details
| NPI number | 1700184892 |
|---|---|
| LBN Legal business name | Garcia, Johannie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2011 |
| Last updated | Sep 19th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700184892 | NPPES |
| Florida | MEDICAID | 003576500 |
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