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Contact Information

GARCIA INSTITUTE PONTE VEDRA LLC
190 A1A N # 1
PONTE VEDRA BEACH, FL32082-1773
 Phone: 904-686-8020
 Fax: 904-834-2592
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GARCIA INSTITUTE PONTE VEDRA LLC · (Female)

NPI Number 1659756740
Status Active
Credentials
Entity Individual
Enumeration date 07/30/2015
Last updated 09/15/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME86699
  • Other U6245Y MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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