# GARCIA INSTITUTE PONTE VEDRA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659756740
- **Authorized official:** ROBERTO GARCIA M.D. (OWNER)
- **Authorized official phone:** (904) 686-8020

## Contact information

- **Practice address:** 190 A1A N \# 1, PONTE VEDRA BEACH, FL 32082-1773
- **Practice address phone:** (904) 686-8020
- **Practice address fax:** (904) 834-2592
- **Mailing address:** 190 A1A N \# 1, PONTE VEDRA BEACH, FL 32082-1773
- **Mailing address phone:** (904) 686-8020
- **Mailing address fax:** (904) 834-2592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | ME86699 | FL | Yes |

## Other

- **Enumeration date:** 07/30/2015
- **Last updated:** 09/15/2016