Basic Information
Provider Information
NPI: 1528448636
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCES
FirstName: PATRYCJA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8409 SW 80TH ST STE 8
Address2:  
City: OCALA
State: FL
PostalCode: 344819117
CountryCode: US
TelephoneNumber: 3524141922
FaxNumber: 8443886186
Practice Location
Address1: 8409 SW 80TH ST STE 8
Address2:  
City: OCALA
State: FL
PostalCode: 344819117
CountryCode: US
TelephoneNumber: 3524141922
FaxNumber: 8443886186
Other Information
ProviderEnumerationDate: 06/03/2015
LastUpdateDate: 05/15/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X292101NYY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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