ST AUGUSTINE PRIMARY CARE P L

ST AUGUSTINE, FL
NPI1760654370
Entity TypeOrganization
Authorized ContactBRIAN DAVID RAYMAKER
Owner
904-342-2989
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  40261)
Enumeration Date2008-03-24
Last Update Date2020-08-05
Business Address
ST AUGUSTINE PRIMARY CARE P L
105 MARINER HEALTH WAY STE 203
ST AUGUSTINE, FL 32086-3251
Phone number: 904-342-2989
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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