St. Augustine Ear, Nose & Throat, L.l.c.
NPI #1699708735 in Saint Augustine, Florida
Provider Information
- NPI Number
- 1699708735
- Entity Type
- Organization
- Organization Name
- St. Augustine Ear, Nose & Throat, L.l.c.
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 9, 2006
- Last Updated
- Jul 30, 2007
Practice Location
- Address
- 1301 PLANTATION ISLAND DRIVE
- Address 2
- UNIT 401
- City
- Saint Augustine
- State
- Florida
- ZIP Code
- 32080
- Phone
- (904) 461-6060
Authorized Official
- Name
- KALPANA S DEPASQUALE, DO
- Title
- OWNER
- Phone
- (904) 461-6060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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