| Organization Name: | GARCIA MEDICAL CLINIC LLC |
| NPI Number: | 1407971922 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUBEN R GARCIA (OWNER) |
| Mailing Address: | 411 E Nelson Ave Defuniak Springs |
| State: | FL US |
| Postal Code: | 324337444 |
| Phone Number: | 8508924791 |
| Fax Number: | 8508923868 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 06/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | ME59559 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |