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St Augustine Physical Medicine
Primary Care Clinic/Center in St Augustine, Florida
NPI 1568798965

St Augustine Physical Medicine is a Primary Care Clinic/Center based in St Augustine, FL and is specialized in Primary Care. St Augustine Physical Medicine practices in St Augustine, FL. The NPI Number for St Augustine Physical Medicine is 1568798965 and holds a License No. (Florida).

The current practice location address for St Augustine Physical Medicine is 1100 S Ponce De Leon Blvd, St Augustine, FL and can be reached out via phone at 904-429-7071.

Location: 1100 S Ponce De Leon Blvd, St Augustine, FL, 32084-6099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568798965
Provider Name
St Augustine Physical Medicine
Credential
Provider Entity Type
Organization
Address
1100 S Ponce De Leon Blvd, St Augustine, FL, 32084-6099
Phone Number
904-429-7071
Fax Number
Provider Enumeration Date
10/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 S Ponce De Leon Blvd
City
St Augustine
State
Florida
Zip
32084-6099
Phone Number
904-429-7071
Fax Number
person
Provider Business Mailing Address Details
Address
1100 S Ponce De Leon Blvd
City
St Augustine
State
Florida
Zip
32084-6099
Phone Number
904-429-7071
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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