St Augustine Primary Care P L
NPI #1760654370 in St Augustine, Florida
Provider Information
- NPI Number
- 1760654370
- Entity Type
- Organization
- Organization Name
- St Augustine Primary Care P L
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 24, 2008
- Last Updated
- Nov 5, 2024
Practice Location
- Address
- 811 STATE ROAD 206 E STE 3
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-4869
- Phone
- (904) 342-2989
Authorized Official
- Name
- BRIAN DAVID RAYMAKER, M.D.
- Title
- OWNER
- Phone
- (904) 342-2989
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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