Provider Demographics
NPI:1255983474
Name:TRELLES GARCIA, DANIELA PATRICIA (MD)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:PATRICIA
Last Name:TRELLES GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2623 SAGE VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33884-3371
Mailing Address - Country:US
Mailing Address - Phone:312-973-6878
Mailing Address - Fax:
Practice Address - Street 1:1255 STATE ROAD 60 E STE 300
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33853-4310
Practice Address - Country:US
Practice Address - Phone:863-421-7722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME171035207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease