National Provider Identifier Database

GARCIA INSTITUTE PONTE VEDRA LLC
Plastic Surgery Within the Head and Neck

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.


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
* Plastic Surgery Within the Head and Neck 2082S0099X

* Indicates primary specialty

NPI Profile & details for GARCIA INSTITUTE PONTE VEDRA LLC

NPI Number 1659756740
Legal business name
LBN
GARCIA INSTITUTE PONTE VEDRA LLC
Authorized official ROBERTO GARCIA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/30/2015
Last updated 09/15/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME86699
  • Other: U6245Y MEDICARE PTAN

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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