Provider Demographics
NPI:1629555834
Name:GARCIA, JOSE R (APRN)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:R
Last Name:GARCIA
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2950 HALCYON LN STE 302
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-6690
Mailing Address - Country:US
Mailing Address - Phone:904-503-7385
Mailing Address - Fax:904-539-3031
Practice Address - Street 1:2950 HALCYON LN STE 302
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-6690
Practice Address - Country:US
Practice Address - Phone:904-503-7385
Practice Address - Fax:904-539-3031
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-20
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9290872363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care