ST AUGUSTINE PHYSICAL MEDICINE

ST AUGUSTINE, FL
NPI1568798965
Entity TypeOrganization
Authorized ContactJAMES L SOLANA
President
904-429-7071
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2009-10-20
Last Update Date2009-10-20
Business Address
ST AUGUSTINE PHYSICAL MEDICINE
1100 S PONCE DE LEON BLVD SUITE 3-A
ST AUGUSTINE, FL 32084-6099
Phone number: 904-429-7071
Mailing Address
ST AUGUSTINE PHYSICAL MEDICINE
1100 S PONCE DE LEON BLVD SUITE 3-A
ST AUGUSTINE, FL 32084-6099
Phone number: 904-429-7071