Dr. Amador Garcia Nazareno, M.D.
Clinic/Center, Primary Care in Jacksonville, FL. Individual provider (NPI-1).
NPI number1629489141
StatusActive
Last updated in NPPESMay 19, 2014
Details
- NPI
- 1629489141
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amador Garcia Nazareno
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 19, 2014
- Last updated
- May 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | ME 46522 | FL | Yes |
| 261Q00000X | Clinic/Center | ME 46522 | FL |
Other names
- None None None (Other Name)
Practice location
2258 Pocosin CtJacksonville, FL 32246-4193
Phone 904-221-2042
Mailing address
2258 Pocosin CtJacksonville, FL 32246-4193
Phone 904-221-2042
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