Organization
NORTH FLORIDA FACIAL PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN F. GARCIA MD (OWNER)
(904) 247-8522
Entity
Organization
Contact information
Practice address
7807 BAYMEADOWS RD E, SUITE 303, JACKSONVILLE, FL 32256-9664
(904) 247-8522
(904) 247-9722
Mailing address
3500 VIA DE LA REINA, JACKSONVILLE, FL 32217-3673
(904) 247-8522
(904) 247-9722
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
ME77632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51049X
MEDICARE PTAN
—
Enumeration date
07/30/2015
Last updated
07/30/2015
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