Garcia Medical Clinic Llc

LBN: Garcia Medical Clinic Llc
Garcia Medical Clinic Llc is an health care organization with primary practice located at 411 E Nelson Ave , Defuniak Springs FL 32433-7444. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Garcia Medical Clinic Llc can be contacted via phone (850) 892-4791, or through Garcia, Ruben Ruiz via phone (850) 892-4791.

Contact Information

Primary practice address
411 E Nelson Ave Defuniak Springs FL 32433-7444
Fax: (850) 892-3868
Website:
Authorized official contact:
Name: Garcia, Ruben Ruiz Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME59559 Florida
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X ME59559 Florida

Profile Details

NPI number 1407971922
LBN Legal business name Garcia Medical Clinic Llc
DBA Doing business as
Authorized official Garcia, Ruben Ruiz Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Jun 19th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407971922 NPPES
Florida MEDICAID 052715700
Florida Other 11921
Florida Other ME59559
Florida MEDICAID 660200200

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