Garcia, Jose L

Garcia, Jose L is an individual health care provider with primary practice located at 1810 Eldron Blvd Se , Palm Bay FL 32909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Garcia, Jose L can be contacted via phone (321) 434-3430.

Contact Information

Primary practice address
1810 Eldron Blvd Se Palm Bay FL 32909
Phone: (321) 434-3430
Fax: (321) 434-3432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME108653 Florida

Profile Details

NPI number 1093832974
LBN Legal business name Garcia, Jose L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Nov 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093832974 NPPES
Florida MEDICAID 003094400
Florida Other EL702Y
Florida Other P01273257

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