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Lina L Feaster Pa
Primary Care Clinic/Center in St Augustine, Florida
NPI 1922205251

Lina L Feaster Pa is a Primary Care Clinic/Center based in St Augustine, FL and is specialized in Primary Care. Lina L Feaster Pa practices in St Augustine, FL. The NPI Number for Lina L Feaster Pa is 1922205251 and holds a License No. ME79232 (Florida).

The current practice location address for Lina L Feaster Pa is 2460 Old Moultrie Rd, St Augustine, FL and can be reached out via phone at 904-794-2424.

Location: 2460 Old Moultrie Rd, St Augustine, FL, 32085-3463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922205251
Provider Name
Lina L Feaster Pa
Credential
Provider Entity Type
Organization
Address
2460 Old Moultrie Rd, St Augustine, FL, 32085-3463
Phone Number
904-794-2424
Fax Number
Provider Enumeration Date
06/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2460 Old Moultrie Rd
City
St Augustine
State
Florida
Zip
32086-4197
Phone Number
904-794-2424
Fax Number
person
Provider Business Mailing Address Details
Address
2460 Old Moultrie Rd
City
St Augustine
State
Florida
Zip
32086-4197
Phone Number
904-794-2424
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
ME79232 (Florida)
Definition
Definition to come...
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