| Internal Medicine Associates Of St Johns County Pa | |
|
16 St Johns Medical Pk Dr St Augustine FL 32086-5299 | |
| (904) 794-5411 | |
| (904) 794-4224 |
| Full Name | Internal Medicine Associates Of St Johns County Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 16 St Johns Medical Pk Dr, St Augustine, Florida |
| Authorized Official Name and Position | Joseph R Rozas (PARTNER) |
| Authorized Official Contact | 9047945411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of St Johns County Pa 16 St Johns Medical Park Dr St Augustine FL 32086-5299 Ph: (904) 794-5411 | Internal Medicine Associates Of St Johns County Pa 16 St Johns Medical Pk Dr St Augustine FL 32086-5299 Ph: (904) 794-5411 |
| NPI Number | 1699704841 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 09/19/2007 |
| Medicare PECOS PAC ID | 4082693759 |
|---|---|
| Medicare Enrollment ID | O20040715001397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699704841 | NPI | - | NPPES |
| 251686100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 207R00000X (Florida) | Primary |
| Provider Name | Beth S Pearce |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568432722 PECOS PAC ID: 9032179239 Enrollment ID: I20041012001513 |
| Provider Name | Walter B Frady |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255361382 PECOS PAC ID: 7416089115 Enrollment ID: I20100715000677 |
| Provider Name | Joseph Ramon Rozas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174554737 PECOS PAC ID: 4688653116 Enrollment ID: I20100715000720 |
| Provider Name | Ernest Joaquin Carames |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528099603 PECOS PAC ID: 2961481494 Enrollment ID: I20100715000768 |
| Provider Name | Joshua M Henry |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1710301205 PECOS PAC ID: 3779704366 Enrollment ID: I20141023002445 |
| Provider Name | Rajesh A Persaud |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023384179 PECOS PAC ID: 3375861057 Enrollment ID: I20150408002369 |
| Provider Name | James E Mossell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720195837 PECOS PAC ID: 1557334448 Enrollment ID: I20190110002888 |
| Provider Name | Wanda L Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750581658 PECOS PAC ID: 6709180201 Enrollment ID: I20200421002768 |
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