Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | ME133231 | FL |
N | 208D00000X | General Practice Physician | 55147-20 | WI |
N | 208D00000X | General Practice Physician | ACN394 | FL |
Y | 208D00000X | General Practice Physician | ME133231 | FL |
NPI | 1023219763 |
---|---|
Provider Name | Dr. Jorge Luis Garcia |
First Address | Miami, FL 33184 |
Second Address | Miami, FL 33175-4404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 17/03/2018 |