| Family Medical Care Of St Augustine Pa | |
|
244 Southpark Cir E St Augustine FL 32086-5137 | |
| (904) 824-7773 | |
| Not Available |
| Full Name | Family Medical Care Of St Augustine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 244 Southpark Cir E, St Augustine, Florida |
| Authorized Official Name and Position | Jignesh Patel (OWNER) |
| Authorized Official Contact | 9048247773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Care Of St Augustine Pa 244 Southpark Cir E St Augustine FL 32086-5137 Ph: (904) 824-7773 | Family Medical Care Of St Augustine Pa 244 Southpark Cir E St Augustine FL 32086-5137 Ph: (904) 824-7773 |
| NPI Number | 1083843288 |
|---|---|
| Provider Enumeration Date | 07/08/2009 |
| Last Update Date | 07/08/2009 |
| Medicare PECOS PAC ID | 7214077932 |
|---|---|
| Medicare Enrollment ID | O20091210000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083843288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0071614 (Florida) | Primary |
| Provider Name | Jignesh R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487693636 PECOS PAC ID: 7517924582 Enrollment ID: I20041213000130 |
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