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Organization

CHARLOTTE COUNTY PRIMARY CARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE M GARCIA MD (OWNER)
(941) 613-1700
Entity
Organization

Contact information

Practice address
3067 TAMIAMI TRL, UNIT 3, PORT CHARLOTTE, FL 33952-6601
(941) 613-1700
(941) 258-3370
Mailing address
PO BOX 380639, MURDOCK, FL 33938-0639
(941) 613-1700
(941) 258-3370

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215937735
NPI OTHER LOCATION
FL
Enumeration date
05/14/2007
Last updated
08/13/2008
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