Basic Information
| Provider Information | |||||||||
| NPI: | 1912961855 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARCIA DE VIERA | ||||||||
| FirstName: | JOCELYN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2521 GOLF VIEW DR | ||||||||
| Address2: | |||||||||
| City: | WESTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333271401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543497173 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1625 SE 3RD AVE | ||||||||
| Address2: | SUITE 623 | ||||||||
| City: | FORT LAUDERDALE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333162521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544635437 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2006 | ||||||||
| LastUpdateDate: | 12/21/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0202X | ME77595 | FL | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Cardiology |
No ID Information.