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1760654370
ST AUGUSTINE PRIMARY CARE P L
ST AUGUSTINE, FL
NPI
1760654370
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Entity Type
Organization
Authorized Contact
BRIAN DAVID RAYMAKER
Owner
904-342-2989
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL 40261)
Enumeration Date
2008-03-24
Last Update Date
2024-11-05
Business Address
ST AUGUSTINE PRIMARY CARE P L
811 STATE ROAD 206 E STE 3
ST AUGUSTINE, FL 32086-4869
Phone number: 904-342-2989
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Mailing Address
ST AUGUSTINE PRIMARY CARE P L
PO BOX 3123
ST AUGUSTINE, FL 32085-3123
Phone number: 904-342-2989
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