Nicole Russo Cavignaro, PA-C
NPI #1508527748 in St Augustine, Florida
Provider Information
- NPI Number
- 1508527748
- Entity Type
- Individual
- Name
- Nicole Russo Cavignaro, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 9, 2022
- Last Updated
- Aug 12, 2024
Practice Location
- Address
- 316 PASEO REYES DR
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32095-8464
- Phone
- (904) 544-5800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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