| Doctor Name: | MARIE JOSEPHINE GARCON |
| NPI Number: | 1043644982 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | ACN 246 |
| Business Practice Address: | 7765 S County Road 231 Lake Butler, FL - 320545721 |
| Business Phone Number: | 3864966111 |
| Business Fax Number: | |
| Mailing Address: | 444 Turkey Crk, ALACHUA |
| State: | FL |
| Postal Code: | 326159303 |
| Phone Number: | 3523530553 |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2013 |
| NPI Last Update Date: | 08/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN 246 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |