Garcia, Mary Ann

Garcia, Mary Ann is an individual health care provider with primary practice located at 1631 Race Track Rd Suite 101, Jacksonville FL 32259-3233. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Garcia, Mary Ann can be contacted via phone (904) 230-7977.

Contact Information

Primary practice address
1631 Race Track Rd Suite 101 Jacksonville FL 32259-3233
Fax: (904) 230-7979
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME84468 Florida

Profile Details

NPI number 1447258058
LBN Legal business name Garcia, Mary Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Mar 1st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447258058 NPPES
Mississippi MEDICAID 0113113
Mississippi MEDICAID 267290100

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