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NPI Code Detail

MEDICARE: MR. ESTEBAN GARCES APRN

MEDICARE: MR. ESTEBAN GARCES APRN
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
1363LF0000XFamily Nurse Practitioner9274006FL

General Provider Information

NPI Number : 1295176998
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ESTEBAN GARCES APRN
Provider Business Mailing Address
First Line : 1891 BEACH BLVD
Second Line : SUITE 200
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-2644
Country : US
Telephone Number : 904-249-3743
Fax Number : 904-249-2047
Provider Business Practice Location Address
First Line : 1891 BEACH BLVD
Second Line : SUITE 200
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-2644
Country : US
Telephone Number : 904-249-3743
Fax Number : 904-249-2047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2013
Last Update Date : 08/11/2021

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