Basic Information
| Provider Information | |||||||||
| NPI: | 1821223108 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARCIA | ||||||||
| FirstName: | TERESA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4481 NW 8TH AVE | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326054582 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3525472373 | ||||||||
| FaxNumber: | 3524161813 | ||||||||
| Practice Location | |||||||||
| Address1: | 3304 SW 34TH CIR STE 103 | ||||||||
| Address2: | |||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344743357 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3524017575 | ||||||||
| FaxNumber: | 3524017577 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2009 | ||||||||
| LastUpdateDate: | 02/03/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME114538 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.