Provider Demographics
NPI:1023755592
Name:GARCIA, CARLOS E (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:E
Last Name:GARCIA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12885 SW 77TH AVE
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-6111
Mailing Address - Country:US
Mailing Address - Phone:904-514-9294
Mailing Address - Fax:
Practice Address - Street 1:7854 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6551
Practice Address - Country:US
Practice Address - Phone:786-633-6234
Practice Address - Fax:786-818-2264
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44899183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist