Provider Demographics
NPI:1407433329
Name:GARCIA SAUCEDO, JUAN CAMILO (MD)
Entity type:Individual
Prefix:MR
First Name:JUAN
Middle Name:CAMILO
Last Name:GARCIA SAUCEDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:904 LEE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-5561
Mailing Address - Country:US
Mailing Address - Phone:407-723-7373
Mailing Address - Fax:407-723-4842
Practice Address - Street 1:904 LEE RD STE 200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-5561
Practice Address - Country:US
Practice Address - Phone:407-723-7373
Practice Address - Fax:407-723-4842
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME166480207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine