| Montega Family Medicine Pa | |
|
151 College Dr Ste 3 Orange Park FL 32065-7684 | |
| (904) 639-5013 | |
| (904) 639-5021 |
| Full Name | Montega Family Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 151 College Dr Ste 3, Orange Park, Florida |
| Authorized Official Name and Position | Rafael A Garcia (OWNER) |
| Authorized Official Contact | 9042146719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montega Family Medicine Pa 2271 Birdwood Dr Orange Park FL 32073-5339 Ph: (904) 214-6719 | Montega Family Medicine Pa 151 College Dr Ste 3 Orange Park FL 32065-7684 Ph: (904) 639-5013 |
| NPI Number | 1306410634 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Medicare PECOS PAC ID | 2365845856 |
|---|---|
| Medicare Enrollment ID | O20210721001568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306410634 | NPI | - | NPPES |
| 009422900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Rafael A Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801068135 PECOS PAC ID: 7517155377 Enrollment ID: I20101220001139 |
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