Individual
MARY ANN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1631 RACE TRACK RD, SUITE 101, JACKSONVILLE, FL 32259-3233
(904) 230-7977
(904) 230-7979
Mailing address
1631 RACE TRACK RD, SUITE 101, JACKSONVILLE, FL 32259-3233
(904) 230-7977
(904) 230-7979
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME84468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113113
—
MS
05
—
267290100
—
FL
Enumeration date
07/08/2005
Last updated
03/01/2012
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