Individual provider Active NPI

Elsa F Garnica, APRN

  • Family Medicine Physician
  • Orange City, FL
National Provider Identifier
1083352637
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8600 Issued in FL
Practice address
1133 Saxon Blvd Ste 200
Orange City, FL 32763-8425
Phone
(386) 228-0590
NPI assigned
May 24, 2022
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8600 FL Primary

Addresses

Primary practice location

1133 Saxon Blvd Ste 200
Orange City, FL 32763-8425

Mailing address

3440 Clingman St
Deltona, FL 32738-1288
Phone (386) 848-4288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OS8600FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1083352637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 CLINGMAN ST",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327381288",
            "telephone_number": "386-848-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 SAXON BLVD STE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638425",
            "telephone_number": "386-228-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNICA",
        "first_name": "ELSA",
        "middle_name": "F",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.