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GARCIA INSTITUTE PONTE VEDRA LLC NPI 1659756740


NPI Information

NPI: 1659756740
Provider Name: GARCIA INSTITUTE PONTE VEDRA LLC
Classification: Plastic Surgery - 2082S0099X
Entity Type: Organization

Specialization: Plastic Surgery Within the Head and Neck

Address:
190 A1A N # 1
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 686-8020
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GARCIA INSTITUTE PONTE VEDRA LLC is a plastic surgery within the head and neck plastic surgery in Ponte Vedra Beach, FL. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. GARCIA INSTITUTE PONTE VEDRA LLC NPI is 1659756740. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

190 A1A N # 1
PONTE VEDRA BEACH, FL
ZIP 32082-773
Phone: (904) 686-8020
Fax: (904) 834-2592

The provider's authorized official is Roberto Garcia .
The authorized official title is Owner and has the following contact phone number (904) 686-8020.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 9/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckME86699FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U6245YOTHERMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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