Healthcare Provider Details

I. General information

NPI: 1841194958
Provider Name (Legal Business Name): JOSEPH R GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8706 W HILLSBOROUGH AVE
TAMPA FL
33615-3705
US

IV. Provider business mailing address

1437 NEBRASKA AVE
PALM HARBOR FL
34683-4121
US

V. Phone/Fax

Practice location:
  • Phone: 813-855-2766
  • Fax:
Mailing address:
  • Phone: 813-855-2766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71667
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: