St Augustine Physical Medicine
St Augustine Physical Medicine is a Primary Care Clinic/Center in St Augustine, Florida. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
1100 S Ponce De Leon Blvd Ste 3-ASt Augustine, FL 32084-6099
Phone: (904) 429-7071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1568798965 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Solana — President · (904) 429-7071 |
| NPI enumerated | October 20, 2009 |
| Last updated in NPPES | October 20, 2009 |
| Mailing address | 1100 S Ponce De Leon Blvd, Suite 3-A, St Augustine, FL 32084-6099 |
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