Provider Demographics
NPI:1083933303
Name:PETE GARCIA MD PA
Entity Type:Organization
Organization Name:PETE GARCIA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-856-8445
Mailing Address - Street 1:2700 SW 3RD AVE
Mailing Address - Street 2:SUITE 1 B
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-2331
Mailing Address - Country:US
Mailing Address - Phone:305-856-8445
Mailing Address - Fax:305-856-6828
Practice Address - Street 1:2700 SW 3RD AVE
Practice Address - Street 2:SUITE 1 B
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-2331
Practice Address - Country:US
Practice Address - Phone:305-856-8445
Practice Address - Fax:305-856-6388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60071174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12755Medicare UPIN