| Physician Associates Group, Inc. | |
|
1301 Plantation Island Dr S Suite 201-a St Augustine FL 32080-3108 | |
| (904) 342-5965 | |
| Not Available |
| Full Name | Physician Associates Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 1301 Plantation Island Dr S, St Augustine, Florida |
| Authorized Official Name and Position | Jeremy Mirabile (MEDICAL DOCTOR) |
| Authorized Official Contact | 9043425965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Associates Group, Inc. 1301 Plantation Island Dr S Suite 201-a St Augustine FL 32080-3108 Ph: (904) 342-5965 | Physician Associates Group, Inc. 1301 Plantation Island Dr S Suite 201-a St Augustine FL 32080-3108 Ph: (904) 342-5965 |
| NPI Number | 1730549817 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 03/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730549817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | ME88707 (Florida) | Primary |
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