| Garcia Medical Clinic Llc | |
|
411 E Nelson Ave Defuniak Springs FL 32433-7444 | |
| (850) 892-4791 | |
| (850) 892-3868 |
| Full Name | Garcia Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 411 E Nelson Ave, Defuniak Springs, Florida |
| Authorized Official Name and Position | Ruben Ruiz Garcia (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8508924791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garcia Medical Clinic Llc 411 E Nelson Ave Defuniak Springs FL 32433-7444 Ph: (850) 892-4791 | Garcia Medical Clinic Llc 411 E Nelson Ave Defuniak Springs FL 32433-7444 Ph: (850) 892-4791 |
| NPI Number | 1407971922 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 06/19/2017 |
| Medicare PECOS PAC ID | 7012008105 |
|---|---|
| Medicare Enrollment ID | O20070803000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407971922 | NPI | - | NPPES |
| 052715700 | Medicaid | FL | |
| 11921 | Other | FL | BLUE CROSS-BLUE SHIELD |
| ME59559 | Other | FL | COMMERCIAL BILLING |
| 660200200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME59559 (Florida) | Secondary |
| 261Q00000X | Clinic/center | ME59559 (Florida) | Primary |
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