1841491701 NPI number — WAYNE J. GARCIA MDPA

Table of content: (NPI 1841491701)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841491701 NPI number — WAYNE J. GARCIA MDPA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WAYNE J. GARCIA MDPA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841491701
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 67310
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ST PETE BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33736-7310
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-431-9548
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1501 PASADENA AVE S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH PASADENA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33707-3717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-431-9548
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/29/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GARCIA
Authorized Official First Name:
WAYNE
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
727-431-9548

Provider Taxonomy Codes

  • Taxonomy code: 208M00000X , with the licence number:  ME0046918 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 048973500 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 04573 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".