Garcia, Ixsa T.

Garcia, Ixsa T. is an sole proprietor health care provider with primary practice located at 1188 Sw 104Th Way , Pembroke Pines FL 33025-3579. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Garcia, Ixsa T. can be contacted via phone (954) 592-0898.

Contact Information

Primary practice address
1188 Sw 104Th Way Pembroke Pines FL 33025-3579
Phone: (954) 592-0898
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO3300 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS12430 Florida

Profile Details

NPI number 1568668671
LBN Legal business name Garcia, Ixsa T.
Credentials D.P.M, D.O
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2007
Last updated Feb 1st, 2016 - about 9 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 1568668671 NPPES
Florida Other 65954 BCBS
Florida MEDICAID 340653900 BCBS

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