Flagler Family Medicine P a
NPI #1215080809 in St Augustine, Florida
Provider Information
- NPI Number
- 1215080809
- Entity Type
- Organization
- Organization Name
- Flagler Family Medicine P a
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Jul 23, 2008
Practice Location
- Address
- 130 HEALTH PARK BLVD
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-5776
- Phone
- (904) 826-3469
Authorized Official
- Name
- MRS. RUTH J FAIRCLOTH
- Title
- ACCOUNTS RECEVIABLE MANAGER
- Phone
- (904) 826-3469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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