Garcia, Ruben R

Garcia, Ruben R is an sole proprietor health care provider with primary practice located at 411 E Nelson Ave , Defuniak Springs FL 32433-7444. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Garcia, Ruben R can be contacted via phone (850) 892-4791.

Contact Information

Primary practice address
411 E Nelson Ave Defuniak Springs FL 32433-7444
Fax: (850) 782-3868
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME59559 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME59559 Florida

Profile Details

NPI number 1639265846
LBN Legal business name Garcia, Ruben R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated May 31st, 2017 - about 7 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 1639265846 NPPES
Florida MEDICAID 660200200
Florida MEDICAID 052715700
Florida MEDICAID 660200201
Florida Other ME59559

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