Individual provider Active NPI

Eddie Alonzo Garcia, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Sebring, FL
National Provider Identifier
1104804293
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME147875 Issued in FL
Practice address
4409 Sun N Lake Blvd
Sebring, FL 33872-2170
Phone
(863) 402-3480
Fax
(863) 402-3483
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X H6228 TX
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X H6228 TX
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME147875 FL Primary

Addresses

Primary practice location

4409 Sun N Lake Blvd
Sebring, FL 33872-2170

Mailing address

4409 Sun N Lake Blvd
Sebring, FL 33872-2170
Phone (863) 402-3480

Other identifiers 2

IdentifierTypeStateIssuer
8G1481OtherTXBCBS
165438601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728001035 FL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5294710943 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME147875FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Sep 3, 2021 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Sep 3, 2021 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Sep 3, 2021 Accepting new patients
Adventist Health System-Sunbelt Inc Current Accepting new patients
Texas Bone Health and Wellness Center PastSince Jul 22, 2025 Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

4409 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-0001

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

Interoperability endpoints

  • Direct secure messaging: egarcia617881@adventhealth.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1104804293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722170",
            "telephone_number": "863-402-3480",
            "fax_number": "863-402-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722170",
            "telephone_number": "863-402-3480",
            "fax_number": "863-402-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "EDDIE",
        "middle_name": "ALONZO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H6228",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "H6228",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME147875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G1481",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165438601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.