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NPI Code Detail

MEDICARE: FIDEL GARCIA MD LLC

MEDICARE: FIDEL GARCIA MD LLC
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
1207R00000XInternal Medicine PhysicianME0053198FL

General Provider Information

NPI Number : 1477735488
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIDEL GARCIA MD LLC
Provider Business Mailing Address
First Line : 2014 UNIVERSITY BLVD W
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2016
Country : US
Telephone Number : 904-733-9211
Fax Number : 904-733-9388
Provider Business Practice Location Address
First Line : 2014 UNIVERSITY BLVD W
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2016
Country : US
Telephone Number : 904-733-9211
Fax Number : 904-733-9388
Authorized Official
Title or Position : OFFICE MANAGER
Name : LEIGH ANN CRAVEN
Credential : M.A.
Telephone Number : 904-732-5084
Provider Enumeration Date : 11/30/2007
Last Update Date : 01/15/2009

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2014 UNIVERSITY BLVD W
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1588078851 — DR. KARA K TERUYA M.D.
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Directions to “FIDEL GARCIA MD LLC ” Practice Location

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