Anastasia Medical Group, LLC
NPI #1710940648 in St Augustine, Florida
Provider Information
- NPI Number
- 1710940648
- Entity Type
- Organization
- Organization Name
- Anastasia Medical Group, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 11, 2006
- Last Updated
- Jan 15, 2024
Practice Location
- Address
- 1301 PLANTATION ISLAND DRIVE
- Address 2
- SUITE 203A
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32080
- Phone
- (904) 461-0821
Authorized Official
- Name
- SUHAS P NEERUKONDA, MD
- Title
- MANAGING PARTNER
- Phone
- (904) 461-0343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism |
| Podiatrist |
| Internal Medicine |
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