Individual
VICENTE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3637 4TH ST N, STE 400, ST PETERSBURG, FL 33704-1355
(727) 823-2188
Mailing address
PO BOX 20042, ST PETERSBURG, FL 33742-0042
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME55158
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062286900
—
FL
01
—
09376
BCBS
FL
01
—
P00252484
RR MEDICARE
FL
Enumeration date
08/24/2006
Last updated
05/23/2008
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