Individual
NICOLE A GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 2601, JACKSONVILLE, FL 32258-5219
(904) 298-1800
(904) 298-1802
Mailing address
13241 BARTRAM PARK BLVD UNIT 2601, JACKSONVILLE, FL 32258-5219
(904) 298-1800
(904) 298-1802
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292750100
—
FL
01
—
AD387T
FL MEDICARE
FL
Enumeration date
02/22/2007
Last updated
03/29/2019
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