| NPI | 1457411373 |
|---|---|
| Other Name | ST AUGUSTINE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | REZWAN ROSA ASHDJI President 904-823-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME0057416) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-04-27 |