Panacea Alliance Corp.
NPI #1326298803 in St Augustine, Florida
Provider Information
- NPI Number
- 1326298803
- Entity Type
- Organization
- Organization Name
- Panacea Alliance Corp.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 22, 2008
- Last Updated
- Apr 16, 2024
Practice Location
- Address
- 1750 TREE BLVD
- Address 2
- STE 5
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084-5715
- Phone
- (904) 342-0672
Authorized Official
- Name
- ENEIDA GOMEZ, MD
- Title
- OWNER
- Phone
- (904) 342-0672
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry |
| Nurse Practitioner - Family — Family |
| Family Medicine |
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