GARCIA AESTHETIC & WELLNESS CENTER INC (NPI# 1770665846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770665846 |
| Entity Type | Organization |
| Organization Name | GARCIA AESTHETIC & WELLNESS CENTER INC |
| Practice Address |
190 A1a N Ponte Vedra Beach FL 32082-1773 |
| Mailing Address |
190 A1a N Ste 1 Ponte Vedra Beach FL 32082-1773 |
| Practice Telephone | 9046868020 |
| Practice Fax Number | 9048342592 |
| Mailing Telephone | 9046868020 |
| Mailing Fax Number | 9048342592 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-09-15 |
| Authorized Official Name | ROBERTO E GARCIA (PRESIDENT) |
| Authorized Official Telephone | 9046868020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
ME86699 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
190 A1A N |
| City | PONTE VEDRA BEACH |
| State | FL |
| Zip Code | 32082-1773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1568988129 | Mustafa Bakir | General Practice | 1102 A1a, Ponte Vedra Beach, FL 32082 | 2017-08-16 |
| 1457890584 | Angelyn Sorgen | Nurse Practitioner | 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 | 2017-02-22 |
| 1033575121 | Balanced Physician Care Pa | Family Medicine | 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 | 2016-01-06 |
| 1528436060 | Robert Thompson II | Chiropractor | 135 Professional Drive, Suite 105, Ponte Vedra Beach, FL 32082 | 2015-09-14 |
| 1144628439 | Integrative Medical Group, Usa, LLC | Clinic/Center | 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082 | 2014-12-18 |
| 1811308901 | Janice Wachtel, Phd, LLC | Psychologist | 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 | 2014-05-12 |
| 1578991154 | Nicole Theiler | Counselor | 171 Canal Blvd, Ponte Vedra Beach, FL 32082 | 2013-10-17 |
| 1982948006 | Daisamma Varghese | Nurse Practitioner | 860 A1an, Ponte Vedra, FL 32082 | 2012-11-15 |
| Find all providers in zip 32082 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659756740 | Garcia Institute Ponte Vedra LLC | Plastic Surgery | 190 A1a N # 1, Ponte Vedra Beach, FL 32082-1773 | 2015-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544172 | Vero Facial Cosmetic Surgery & Medispa,pllc | Plastic Surgery | 1255 37th St Ste D, Vero Beach, FL 32960-6550 | 2015-12-30 |
| 1790911022 | Kriston J Kent Md Pa | Plastic Surgery | 1660 Medical Blvd Ste 100, Naples, FL 34110-1415 | 2009-06-01 |
| 1295946598 | Rian Maercks | Plastic Surgery | 4500 Biscayne Blvd Ste 104, Miami, FL 33137-3227 | 2007-05-25 |
| 1467512699 | Adler Facial Plastic Surgery Pa | Plastic Surgery | 323 Osceola St, Stuart, FL 34994 | 2006-12-11 |
| 1922105600 | Juan Phillip Garcia | Plastic Surgery | 700 3rd Street, Suite 102, Neptune Beach, FL 32266 | 2006-09-17 |
| 1255445862 | John J Obrien Jr. | Plastic Surgery | 7855 38th Ave N, St Petersburg, FL 33710-1134 | 2006-08-19 |
| 1427162486 | William L Carter | Plastic Surgery | 2706 Dr Martin Luther King Jr Blvd W, Suite B, Tampa, FL 33607-6360 | 2006-08-18 |
| 1083645717 | Advanced Facial Cosmetic & Laser Surgery Center Inc | Plastic Surgery | 5070 Highway A1a, Vero Beach, FL 32963-1400 | 2006-07-05 |
| 1538140231 | Ross A Clevens | Plastic Surgery | 707 W Eau Gallie Blvd, Melbourne, FL 32935-5958 | 2005-11-09 |
| 1154325439 | Nicholas Themis Monsul | Plastic Surgery | 2068 Hawthorne St, Ste 201, Sarasota, FL 34239-2307 | 2005-06-02 |
| Find all providers with the same taxonomy | ||||
| City | PONTE VEDRA BEACH |
| Zip Code | 32082 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.