Individual
ROBERTO ELOY GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 A1A N, PONTE VEDRA BEACH, FL 32082-1709
(904) 686-8020
(904) 834-2592
Mailing address
230 A1A N, PONTE VEDRA BEACH, FL 32082-1709
(904) 686-8020
(904) 834-2592
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
ME86699
FL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
ME86699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U6245Y
MEDICARE PTAN
FL
Enumeration date
10/16/2006
Last updated
01/22/2020
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