Individual
MR. MIGUEL ANTONIO GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1350 HICKORY ST STE 102, MELBOURNE, FL 32901
(321) 434-3455
(321) 434-3456
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-3455
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9105355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001818200
—
FL
01
—
CV269U
MEDICARE
FL
Enumeration date
01/26/2010
Last updated
07/26/2018
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