Garcia, Jorge Enrique

Garcia, Jorge Enrique is an sole proprietor health care provider with primary practice located at 101 Hunting Lodge Dr Fl 33166101 , Miami Springs FL 33166-5109. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Garcia, Jorge Enrique can be contacted via phone (786) 208-8619.

Contact Information

Primary practice address
101 Hunting Lodge Dr Fl 33166101 Miami Springs FL 33166-5109
Phone: (786) 208-8619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5142 Florida

Profile Details

NPI number 1801536198
LBN Legal business name Garcia, Jorge Enrique
Credentials PH.D., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2022
Last updated Apr 1st, 2022 - about 3 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 1801536198 NPPES
Florida MEDICAID 109803200

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