Organization
WAYNE J. GARCIA MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE J. GARCIA M.D. (PRESIDENT)
(727) 431-9548
Entity
Organization
Contact information
Practice address
1501 PASADENA AVE S, SOUTH PASADENA, FL 33707-3717
(727) 431-9548
Mailing address
PO BOX 67310, ST PETE BEACH, FL 33736-7310
(727) 431-9548
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME0046918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04573
BCBS
FL
05
—
048973500
—
FL
Enumeration date
05/29/2007
Last updated
02/03/2017
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