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Ouch, Pa
Specialist in St Augustine, Florida
NPI 1144383746

Ouch, Pa is a Specialist based in St Augustine, FL. Ouch, Pa practices in St Augustine, FL. The NPI Number for Ouch, Pa is 1144383746 and holds a License No. (Florida).

The current practice location address for Ouch, Pa is 105 Southpark Blvd, St Augustine, FL and can be reached out via phone at 904-808-7246 and via fax at 904-808-7090. You can also correspond with Ouch, Pa through the mailing address at 105 SOUTHPARK BLVD, ST AUGUSTINE, FL - 32086-4162 (mailing address contact number: 904-808-7246).

Location: 105 Southpark Blvd, St Augustine, FL, 32086-4162
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144383746
Provider Name
Ouch, Pa
Credential
Provider Entity Type
Organization
Address
105 Southpark Blvd, St Augustine, FL, 32086-4162
Phone Number
904-808-7246
Fax Number
904-808-7090
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7612385 01 FL AETNA
34189 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
105 Southpark Blvd
City
St Augustine
State
Florida
Zip
32086-4162
Phone Number
904-808-7246
Fax Number
904-808-7090
person
Provider Business Mailing Address Details
Address
105 Southpark Blvd
City
St Augustine
State
Florida
Zip
32086-4162
Phone Number
904-808-7246
Fax Number
904-808-7090
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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