Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | ME0069458 | FL |
NPI | 1124075478 |
---|---|
Provider Name | Dr. Peter V. Garcia |
First Address | Circle Pines, MN 55014-0490 |
Second Address | Hialeah, FL 33016-1897 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 03/05/2017 |