Organization Active NPI

Teddy Garcia MD PA

  • General Practice Physician
  • Orange Park, FL
National Provider Identifier
1043579816
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME42972 Issued in FL
Legal business name
TEDDY GARCIA MD PA
Practice address
784 Blanding Blvd
Ste 108
Orange Park, FL 32065-8717
Phone
(904) 272-7778
Fax
(904) 272-7742
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Teddy Garcia, M.D.
Title
President
Phone
(904) 272-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME42972 FL Primary

Addresses

Primary practice location

784 Blanding Blvd
Ste 108
Orange Park, FL 32065-8717

Mailing address

784 Blanding Blvd
Ste 108
Orange Park, FL 32065-8717
Phone (904) 272-7778

National Provider Directory

National Provider Directory

Locations

784 Blanding Blvd
Ste 108
Orange Park, FL 32065
Phone (904) 264-2636

921 Blanding Blvd
Orange Park, FL 32065
Phone (904) 272-7272

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1043579816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 BLANDING BLVD",
            "address_2": "STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658717",
            "telephone_number": "904-272-7778",
            "fax_number": "904-272-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 BLANDING BLVD",
            "address_2": "STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658717",
            "telephone_number": "904-272-7778",
            "fax_number": "904-272-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEDDY GARCIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-272-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME42972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.