| Echo Managed Care, LLC | |
|
100 Arricola Ave Saint Augustine FL 32080-4515 | |
| (904) 825-4368 | |
| Not Available |
| Full Name | Echo Managed Care, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 100 Arricola Ave, Saint Augustine, Florida |
| Authorized Official Name and Position | John Paul Shaddock (STRATEGY AND DEVELOPMENT OFFICER) |
| Authorized Official Contact | 8503416322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Echo Managed Care, LLC 100 Arricola Ave Saint Augustine FL 32080-4515 Ph: (904) 825-4368 | Echo Managed Care, LLC 100 Arricola Ave Saint Augustine FL 32080-4515 Ph: (904) 825-4368 |
| NPI Number | 1669053351 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669053351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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