| Gerardo E Garcia Md Llc | |
|
4054 Beaver Ln Sutie 1 Port Charlotte FL 33952-9296 | |
| (941) 613-6850 | |
| (941) 613-6851 |
| Full Name | Gerardo E Garcia Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4054 Beaver Ln, Port Charlotte, Florida |
| Authorized Official Name and Position | Gerardo E Garcia (PHYSICIAN) |
| Authorized Official Contact | 9416136850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerardo E Garcia Md Llc 4054 Beaver Ln Sutie 1 Port Charlotte FL 33952-9296 Ph: (941) 613-6850 | Gerardo E Garcia Md Llc 4054 Beaver Ln Sutie 1 Port Charlotte FL 33952-9296 Ph: (941) 613-6850 |
| NPI Number | 1447387295 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 10/22/2007 |
| Medicare PECOS PAC ID | 9931205424 |
|---|---|
| Medicare Enrollment ID | O20070430000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447387295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME91360 (Florida) | Primary |
| Provider Name | Gerardo E Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477566966 PECOS PAC ID: 2961469556 Enrollment ID: I20041215000577 |
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