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Organization
MEDIFIRST-MEDIFAST, INC
Active
Organization
MEDIFIRST-MEDIFAST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN FELIPE GARCIA MD (OWNER/PHYSICIAN)
(904) 781-6203
Entity
Organization
Contact information
Practice address
1718 N EDGEWOOD AVE, JACKSONVILLE, FL 32254
(904) 781-6203
(904) 781-6207
Mailing address
1718 N EDGEWOOD AVE, JACKSONVILLE, FL 32254
(904) 781-6203
(904) 781-6207
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0026098
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039050000
—
FL
Enumeration date
07/11/2006
Last updated
11/14/2014
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