Organization Active NPI

Gerardo E Garcia MD LLC

  • Internal Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1447387295
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME91360 Issued in FL
Legal business name
GERARDO E GARCIA MD LLC
Practice address
4054 Beaver LN
Sutie 1
Port Charlotte, FL 33952-9296
Phone
(941) 613-6850
Fax
(941) 613-6851
NPI assigned
Feb 28, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Gerardo E Garcia, MDNPI 1477566966
Title
Physician
Phone
(941) 613-6850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME91360 FL Primary

Addresses

Primary practice location

4054 Beaver LN
Sutie 1
Port Charlotte, FL 33952-9296

Mailing address

4054 Beaver LN
Sutie 1
Port Charlotte, FL 33952-9296
Phone (941) 613-6850

National Provider Directory

National Provider Directory

Locations

3300 Tamiami Trl
Ste 101B
Pt Charlotte, FL 33952
Phone (941) 613-6850

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1447387295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4054 BEAVER LN",
            "address_2": "SUTIE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529296",
            "telephone_number": "941-613-6850",
            "fax_number": "941-613-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 BEAVER LN",
            "address_2": "SUTIE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529296",
            "telephone_number": "941-613-6850",
            "fax_number": "941-613-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARDO E GARCIA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "941-613-6850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.