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Fm Medical Clinic Llc
Clinic/Center in St Augustine, Florida
NPI 1891298790

Fm Medical Clinic Llc is a Clinic/Center based in St Augustine, FL. Fm Medical Clinic Llc practices in St Augustine, FL. The NPI Number for Fm Medical Clinic Llc is 1891298790 and holds a License No. (Florida).

The current practice location address for Fm Medical Clinic Llc is 165 Southpark Blvd, St Augustine, FL and can be reached out via phone at 904-823-8833 and via fax at 904-823-9394.

Location: 165 Southpark Blvd, St Augustine, FL, 32086-4101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891298790
Provider Name
Fm Medical Clinic Llc
Credential
Provider Entity Type
Organization
Address
165 Southpark Blvd, St Augustine, FL, 32086-4101
Phone Number
904-823-8833
Fax Number
904-823-9394
Provider Enumeration Date
03/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M242796603210 01 FL DRIVERS LICENSES
institution
Provider Business Practice Location Address Details
Address
165 Southpark Blvd
City
St Augustine
State
Florida
Zip
32086-4101
Phone Number
904-823-8833
Fax Number
904-823-9394
person
Provider Business Mailing Address Details
Address
165 Southpark Blvd
City
St Augustine
State
Florida
Zip
32086-4101
Phone Number
904-823-8833
Fax Number
904-823-9394
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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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).
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