Provider Demographics
NPI:1629896816
Name:GARCIA RAMIREZ, WENDY
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:GARCIA RAMIREZ
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 1:5841 KISLIN PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-3116
Mailing Address - Country:US
Mailing Address - Phone:407-219-6946
Mailing Address - Fax:
Practice Address - Street 1:150 3RD ST SW STE 109
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-2980
Practice Address - Country:US
Practice Address - Phone:863-271-9551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician