Amarilis Aviles-Garcia MD PA
Organization Active NPI Internal Medicine Physician · Palatka, FL
NPI 1356583777 · NPPES record last updated Mar 31, 2009
Key facts
- NPI
- 1356583777
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME102471 (FL)
- Legal business name
- AMARILIS AVILES-GARCIA MD PA
- Practice address
- 800 Zeagler Dr
Suite 430
Palatka, FL 32177-3883 - Phone
- (386) 326-0596
- Fax
- (386) 326-0598
- NPI assigned
- Mar 31, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Amarilis Aviles-Garcia, MD
- Title
- MD/President
- Phone
- (386) 326-0596
National Provider Directory
Locations
800 Zeagler Dr
Ste 430
Palatka, FL 32177
Phone (386) 326-0596
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | ME102471 | FL | Yes |
Addresses
Primary practice location
800 Zeagler Dr
Suite 430
Palatka, FL 32177-3883
Mailing address
800 Zeagler Dr
Suite 430
Palatka, FL 32177-3883
Phone (386) 326-0596
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL |
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All providers in Palatka, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.