Provider Demographics
NPI:1326558024
Name:GARCIA, JOVANKA
Entity type:Individual
Prefix:
First Name:JOVANKA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:
Credentials:
Other - Prefix:MRS
Other - First Name:JOVANKA
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1790 BRIGHT SKY DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-6160
Mailing Address - Country:US
Mailing Address - Phone:407-879-4501
Mailing Address - Fax:
Practice Address - Street 1:1790 BRIGHT SKY DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-6160
Practice Address - Country:US
Practice Address - Phone:407-879-4501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-07
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty