Old Moultrie Surgical Center Inc
Old Moultrie Surgical Center Inc is an Ambulatory Surgical Clinic/Center in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2460 Old Moultrie Rd Ste 3St Augustine, FL 32086-4198
Phone: (904) 797-6627
Fax: (904) 797-6028
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 1089 (FL) |
|---|
Record details
| NPI number | 1144326307 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | George Sadowski — Medical Director · (904) 797-6627 |
| NPI enumerated | September 15, 2006 |
| Last updated in NPPES | August 3, 2009 |
| Mailing address | P O Box 3127, St Augustine, FL 32085-3127 |
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