institution
Old Moultrie Surgical Center Inc
Ambulatory Surgical Clinic/Center in St Augustine, Florida
NPI 1144326307

Old Moultrie Surgical Center Inc is an Ambulatory Surgical Clinic/Center based in St Augustine, FL and is specialized in Ambulatory Surgical. Old Moultrie Surgical Center Inc practices in St Augustine, FL. The NPI Number for Old Moultrie Surgical Center Inc is 1144326307 and holds a License No. 1089 (Florida).

The current practice location address for Old Moultrie Surgical Center Inc is 2460 Old Moultrie Road, St Augustine, FL and can be reached out via phone at 904-797-6627 and via fax at 904-797-6028.

Location: 2460 Old Moultrie Road, St Augustine, FL, 32085-3127
institution
Provider Profile Details
NPI Number
1144326307
Provider Name
Old Moultrie Surgical Center Inc
Credential
Provider Entity Type
Organization
Address
2460 Old Moultrie Road, St Augustine, FL, 32085-3127
Phone Number
904-797-6627
Fax Number
904-797-6028
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2460 Old Moultrie Road
City
State
Zip
32086-4198
Phone Number
904-797-6627
Fax Number
904-797-6028
person
Provider Business Mailing Address Details
Address
2460 Old Moultrie Road
City
State
Zip
32086-4198
Phone Number
904-797-6627
Fax Number
904-797-6028
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
1089 (Florida)
Definition
Definition to come...
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