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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

NPI # 1659756740
LBN Legal business name GARCIA INSTITUTE PONTE VEDRA LLC
Authorized official ROBERTO GARCIA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2015
Last updated 09/15/2016 - About 10 years ago
Identifiers
FL License # ME86699
Other U6245Y MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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