Garcia Aesthetic & Wellness Center Inc

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

ME86699 Issued in FL

Legal business name

GARCIA AESTHETIC & WELLNESS CENTER INC

Practice address

190 A1A N
Ponte Vedra Beach, FL 32082-1773

Phone

(904) 686-8020

Fax

(904) 834-2592

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Roberto E Garcia, MD

Title

President

Phone

(904) 686-8020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Erin Fortier, PA-C

  • Physician Assistant
  • Ponte Vedra Beach, FL
  • NPI 1932624475
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1770665846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 A1A N STE 1",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821773",
            "telephone_number": "904-686-8020",
            "fax_number": "904-834-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 A1A N",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821773",
            "telephone_number": "904-686-8020",
            "fax_number": "904-834-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARCIA AESTHETIC & WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-686-8020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "FL",
            "license": "ME86699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Gagliardi, ARNP
• Chelsey Gallegos
• Kristen Galloway
• Susan Gambardella
• Gregory Lee Garamoni, PHD
• Garcia Institute Ponte Vedra LLC
• Roberto Eloy Garcia, MD
• GBC Mental Health & Wellness LLC
• Cynthia Geddes, LCSW
• Genetics and Metabolism LLC

• Plastic Surgery Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.