GARCIA MEDICAL CLINIC LLC
NPI 1407971922
Clinic/Center in Defuniak Springs, FL

Active since March 21, 2007CLIA 10D2124259 · Waiver
411 E NELSON AVE, DEFUNIAK SPRINGS, FL 32433(850) 892-4791(850) 892-3868 Get Directions Write a Review

NPPES record last updated: June 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Garcia Medical Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARCIA MEDICAL CLINIC LLC (NPI 1407971922) is a healthcare organization registered as a clinic/center in Defuniak Springs, Florida and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Ruben Ruiz Garcia, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1407971922
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGARCIA MEDICAL CLINIC LLC
Location Address411 E NELSON AVEDefuniak Springs, FL 32433-7444
Mailing Address411 E Nelson AveDefuniak Springs, FL 32433-7444 · (850) 892-4791 · Fax (850) 892-3868
Fax(850) 892-3868
Organization SubpartNo
Authorized OfficialRuben Ruiz GarciaPhysician/owner · (850) 892-4791
Enumeration DateMarch 21, 2007
Last NPPES UpdateJune 19, 2017
NPI 1407971922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in FL · ME59559
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedGeneral PracticeTaxonomy 208D00000X · License ME59559 (FL)
411 E NELSON AVE, Defuniak Springs, FL 32433

Other Identifiers 7

Medicare UPINE19933FL
Medicare OSCAR/certification108975FL
Medicaid052715700FL
Other11921FL · Blue Cross-blue Shield
OtherME59559FL · Commercial Billing
Medicare ID-Type Unspecified108975FL · Rural Health Clinic
Medicaid660200200FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2124259

Garcia Medical Clinic · Defuniak Springs, FL
Active · expires Jan 11, 2027
CLIA Number10D2124259
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorRuben R. Garcia
Laboratory Phone(850) 892-4791
Laboratory LocationGarcia Medical Clinic411 East Nelson Ave, Defuniak Springs, FL 32433
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
411 E NELSON AVE
DEFUNIAK SPRINGS, FL 32433
Clinic/Center
411 E NELSON AVE
DEFUNIAK SPRINGS, FL 32433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garcia Medical Clinic LLC's NPI number?

The NPI number for Garcia Medical Clinic LLC is 1407971922. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Garcia Medical Clinic LLC located?

Garcia Medical Clinic LLC is located at 411 E Nelson Ave, Defuniak Springs, FL 32433. The listed phone number is (850) 892-4791.

What is Garcia Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Garcia Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2124259) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Garcia Medical Clinic LLC was last updated on June 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.