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NPI Code Detail

MEDICARE: DR. FLORENCIO B GARCIA JR. MD

MEDICARE: DR. FLORENCIO B GARCIA JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician0101229995VA
2207RN0300XNephrology Physician200500190NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2171813OTHERVAANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
48819039OTHERCIGNA
53128394OTHERMAMSI

General Provider Information

NPI Number : 1134173123
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FLORENCIO B GARCIA JR. MD
Provider Business Mailing Address
First Line : 1040 MAIN ST
Second Line : PO BOX 1360
City : DANVILLE
State : VA
Zip : 24541-1816
Country : US
Telephone Number : 434-792-1433
Fax Number : 434-797-2807
Provider Business Practice Location Address
First Line : 1040 MAIN ST
Second Line :
City : DANVILLE
State : VA
Zip : 24541-1816
Country : US
Telephone Number : 434-792-1433
Fax Number : 434-797-2807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 11/09/2010

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