Individual provider Active NPI

Lilliam Marie Garcia, M.D.

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1023218328
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME99240 Issued in FL
Practice address
935 Intracoastal Dr
Fort Lauderdale, FL 33304-3623
Phone
(954) 522-8561
Fax
(954) 522-6602
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME99240 FL Primary

Addresses

Primary practice location

935 Intracoastal Dr
Fort Lauderdale, FL 33304-3623

Mailing address

PO Box 23158
Fort Lauderdale, FL 33307-3158
Phone (954) 522-8561

Other identifiers 1

IdentifierTypeStateIssuer
000337600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080319000461 FL Practitioner - Internal Medicine 0143306969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GGB MD PAGroup PAC ID 1456597335, 2 clinicians

Practice addresses (Care Compare)

935 Intracoastal Dr
Fort Lauderdale, FL 33304-3623
Phone (954) 522-8561

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME99240FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GGB MD PA Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Vincent Pianelli, Mdpa Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients

Locations

935 Intracoastal Dr
Ft Lauderdale, FL 33304
Phone (954) 522-8561

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1023218328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23158",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333073158",
            "telephone_number": "954-522-8561",
            "fax_number": "954-522-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 INTRACOASTAL DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043623",
            "telephone_number": "954-522-8561",
            "fax_number": "954-522-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LILLIAM",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME99240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000337600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.