Organization
CHARLOTTE COUNTY PRIMARY CARE & WALK IN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M GARCIA MD (OWNER / OPERATOR)
(941) 613-1700
Entity
Organization
Contact information
Practice address
2380 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5024
(941) 613-1700
(941) 613-1700
Mailing address
PO BOX 380639, MURDOCK, FL 33938-0639
(941) 613-1700
(941) 613-1651
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7935197
AETNA
—
Enumeration date
07/27/2005
Last updated
08/22/2020
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