Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | ME145828 | FL |
Y | 207RP1001X | Pulmonary Disease | ME145828 | FL |
NPI | 1093135881 |
---|---|
Provider Name | Reinaldo Garcia |
First Address | Camden, NJ 08103-1461 |
Second Address | Tampa, FL 33607-6436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2014 |
Last Update Date | 13/06/2020 |