Kyle Clinic
Kyle Clinic is a Family Medicine Physician in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
1110 A1A N Ste 101Ponte Vedra Beach, FL 32082-4071
Phone: (904) 280-8657
Fax: (904) 280-8659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence ME83612 (FL) |
|---|
Record details
| NPI number | 1811056310 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stacy Lawrence — Office Manager · (904) 280-8657 |
| NPI enumerated | December 8, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1110 A1a N Ste 101, Ponte Vedra Beach, FL 32082-4071 |
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Katie Longo Cantrell, MD
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Dr. Adam Dimitrov, MD
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Shalaka Ghate, MD
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