NPIMap

Organization Active NPI

Palm Bay Medical Associates, LLC

  • Internal Medicine Physician
  • Palm Bay, FL
National Provider Identifier
1891017307
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PALM BAY MEDICAL ASSOCIATES, LLC
Practice address
6080 Babcock St SE
Palm Bay, FL 32909-3921
Phone
(321) 409-3073
Fax
(321) 409-3075
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Joven T Garcia, M.D.
Title
President
Phone
(321) 409-3073

Specialties & licenses 1

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

Addresses

Primary practice location

6080 Babcock St SE
Palm Bay, FL 32909-3921

Mailing address

6080 Babcock St SE
Palm Bay, FL 32909-3921
Phone (321) 409-3073

National Provider Directory

National Provider Directory

Locations

1326 Malabar Rd SE
Ste 5
Palm Bay, FL 32907
Phone (321) 409-3073

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1891017307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 BABCOCK ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329093921",
            "telephone_number": "321-409-3073",
            "fax_number": "321-409-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 BABCOCK ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329093921",
            "telephone_number": "321-409-3073",
            "fax_number": "321-409-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BAY MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JOVEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-409-3073",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.