| Farghaly Medical, Pllc | |
|
100 Whetstone Pl Suite 208 St Augustine FL 32086-5774 | |
| (904) 826-7932 | |
| (904) 819-6700 |
| Full Name | Farghaly Medical, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Whetstone Pl, St Augustine, Florida |
| Authorized Official Name and Position | Rebecca Burnside (OFFICE MANAGER) |
| Authorized Official Contact | 9048267932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farghaly Medical, Pllc 100 Whetstone Pl Suite 208 St Augustine FL 32086-5774 Ph: (904) 826-7932 | Farghaly Medical, Pllc 100 Whetstone Pl Suite 208 St Augustine FL 32086-5774 Ph: (904) 826-7932 |
| NPI Number | 1114323631 |
|---|---|
| Provider Enumeration Date | 11/11/2014 |
| Last Update Date | 11/11/2014 |
| Medicare PECOS PAC ID | 0840515870 |
|---|---|
| Medicare Enrollment ID | O20150213000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114323631 | NPI | - | NPPES |
| PENDING | Other | FL | PENDING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME97900 (Florida) | Primary |
| Provider Name | Basant Farghaly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104945872 PECOS PAC ID: 8921190315 Enrollment ID: I20070815000102 |
Mainland Physicians Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Arricola Ave, St Augustine, FL 32080 Phone: 904-825-4368 Fax: 904-825-9107 | |
Flagler Health Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Palencia Village Dr Ste 107, St Augustine, FL 32095 Phone: 904-819-3200 Fax: 904-819-3201 | |
Fm Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Southpark Blvd, Suite C & D, St Augustine, FL 32086 Phone: 904-823-8833 Fax: 904-823-9394 | |
Northeast Florida Endocrine And Diabetes Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Plantation Island Dr S, Suite 1, St Augustine, FL 32080 Phone: 904-384-2240 Fax: 394-384-6055 | |
David B. Goldberg, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6010 A1a S, St Augustine, FL 32080 Phone: 904-461-5080 Fax: 904-217-0840 | |
Family Medical Care Of St Augustine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 244 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-7773 |