Organization
BODY IMAGE LASER INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY J GARCIA MD (PRESIDENT OWNER)
(813) 871-6465
Entity
Organization
Contact information
Practice address
2801 S MACDILL AVE, TAMPA, FL 33629-7223
(813) 871-6465
(813) 470-7991
Mailing address
2801 S MACDILL AVE, TAMPA, FL 33629-7223
(813) 871-6465
(813) 470-7991
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1686410000
FL
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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