MEDICARE: DR. ANGEL GARCIA DC

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
1	111N00000X	Chiropractor	CH12680	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386117802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGEL GARCIA DC

Provider Business Mailing Address
First Line	:	40 N CHARLES RICHARD BEALL BLVD
Second Line	:
City	:	DEBARY
State	:	FL
Zip	:	32713-2519
Country	:	US
Telephone Number	:	407-227-3778
Fax Number	:

Provider Business Practice Location Address
First Line	:	242 E GRAVES AVE
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-5214
Country	:	US
Telephone Number	:	407-227-3778
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2019
Last Update Date	:	10/29/2024

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Directions to “ DR. ANGEL GARCIA DC” Practice Location

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