Provider Demographics
NPI:1578013694
Name:GARCIA, KRISTINA JOY (APRN)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:JOY
Last Name:GARCIA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11555 REGENCY VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-7825
Mailing Address - Country:US
Mailing Address - Phone:689-210-0525
Mailing Address - Fax:833-654-0618
Practice Address - Street 1:11555 REGENCY VILLAGE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32821-7825
Practice Address - Country:US
Practice Address - Phone:689-210-0525
Practice Address - Fax:833-654-0618
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNARNP22201363LF0000X
FLARNP9220984363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily