# MONTEGA FAMILY MEDICINE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Montega Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306410634
- **Authorized official:** RAFAEL A GARCIA MD (OWNER)
- **Authorized official phone:** (904) 214-6719

## Contact information

- **Practice address:** 151 COLLEGE DR STE 3, ORANGE PARK, FL 32065-7684
- **Practice address phone:** (904) 639-5013
- **Practice address fax:** (904) 639-5021
- **Mailing address:** 2271 BIRDWOOD DR, ORANGE PARK, FL 32073-5339
- **Mailing address phone:** (904) 214-6719
- **Mailing address fax:** (904) 239-5021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2021
- **Last updated:** 05/20/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009422900 | — | FL |
