Provider Demographics
NPI:1245821313
Name:JUARBE GARCIA, DALIENNE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:DALIENNE
Middle Name:MARIE
Last Name:JUARBE GARCIA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 MALLORY CIR STE 202
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34747-1818
Mailing Address - Country:US
Mailing Address - Phone:407-269-8550
Mailing Address - Fax:407-288-1010
Practice Address - Street 1:4551 PLEASANT HILL RD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-3422
Practice Address - Country:US
Practice Address - Phone:321-441-8988
Practice Address - Fax:866-531-4982
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN1512208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty