Organization Active NPI

Fidel Garcia MD LLC

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1477735488
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0053198 Issued in FL
Legal business name
FIDEL GARCIA MD LLC
Practice address
2014 University Blvd W
Jacksonville, FL 32217-2016
Phone
(904) 733-9211
Fax
(904) 733-9388
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Leigh Ann Craven, M.A.
Title
Office Manager
Phone
(904) 732-5084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0053198 FL Primary

Addresses

Primary practice location

2014 University Blvd W
Jacksonville, FL 32217-2016

Mailing address

2014 University Blvd W
Jacksonville, FL 32217-2016
Phone (904) 733-9211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1477735488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172016",
            "telephone_number": "904-733-9211",
            "fax_number": "904-733-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172016",
            "telephone_number": "904-733-9211",
            "fax_number": "904-733-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEL GARCIA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-732-5084",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0053198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.