Doctor Name: | DR. ROLANDO GARCIA |
NPI Number: | 1174641732 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME98642 |
Business Practice Address: | 13131 Kings Lake Dr Suite 101 Gibsonton, FL - 335343959 |
Business Phone Number: | 8136726092 |
Business Fax Number: | 8136771892 |
Mailing Address: | Po Box 7000, BRANDON |
State: | FL |
Postal Code: | 335086017 |
Phone Number: | 8139523918 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 02/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | ME98642 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |