Provider Demographics
NPI:1396315495
Name:GARCIA, SUZETTE CHARITY
Entity type:Individual
Prefix:
First Name:SUZETTE
Middle Name:CHARITY
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PALMETTO DR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-6745
Mailing Address - Country:US
Mailing Address - Phone:561-386-2727
Mailing Address - Fax:
Practice Address - Street 1:2 PALMETTO DR
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-6745
Practice Address - Country:US
Practice Address - Phone:561-386-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education