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1104903160
LIGHTHOUSE PAIN AND SPINE SPECIALISTS
ST AUGUSTINE, FL
NPI
1104903160
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Entity Type
Organization
Authorized Contact
JOHN DOYLE
Owner
904-824-4990
Organization Subpart ?
No
Primary Taxonomy
207LP2900X Anesthesiology Pain Medicine
(Licence: FL ME97111)
Enumeration Date
2006-11-01
Last Update Date
2020-08-22
Business Address
LIGHTHOUSE PAIN AND SPINE SPECIALISTS
300 HEALTH PARK BLVD SUITE 5008
ST AUGUSTINE, FL 32086-3707
Phone number: 904-823-8823
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Mailing Address
LIGHTHOUSE PAIN AND SPINE SPECIALISTS
PO BOX 3012
ST AUGUSTINE, FL 32085-3012
Phone number: 904-824-4990
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