Garcia, Yaroslaba

Garcia, Yaroslaba is an sole proprietor health care provider with primary practice located at 12811 Kenwood Ln Ste 202 , Fort Myers FL 33907-5646. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Garcia, Yaroslaba can be contacted via phone (239) 537-9646.

Contact Information

Primary practice address
12811 Kenwood Ln Ste 202 Fort Myers FL 33907-5646
Phone: (239) 537-9646
Fax: (239) 236-0866
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH11374 Florida

Profile Details

NPI number 1194176743
LBN Legal business name Garcia, Yaroslaba
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2016
Last updated Dec 13th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194176743 NPPES
Florida MEDICAID 101054400
Florida Other 13842682

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