Provider Demographics
NPI:1023010832
Name:GARCIA, JOSE M (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:M
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2601 N HIMES AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-2112
Mailing Address - Country:US
Mailing Address - Phone:813-873-8071
Mailing Address - Fax:813-877-4031
Practice Address - Street 1:2601 N HIMES AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-2112
Practice Address - Country:US
Practice Address - Phone:813-873-8071
Practice Address - Fax:813-877-4031
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME98641207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAR251ZMedicare PIN