Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME93822 | FL |
Y | 207RC0000X | Internist - Cardiovascular Disease | ME93822 | FL |
NPI | 1184674244 |
---|---|
Provider Name | Joel Richard Garcia |
First Address | Winter Garden, FL 34787-5050 |
Second Address | Winter Garden, FL 34787-5050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 13/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
276240400 | (05) | FL |
ME93822 | MEDICAL LICENSE (01) | FL |