| St Johns Menendez | |
|
580 State Road 206 W Saint Augustine FL 32086-7968 | |
| (904) 671-8337 | |
| Not Available |
| Full Name | St Johns Menendez |
|---|---|
| Speciality | General Practice |
| Location | 580 State Road 206 W, Saint Augustine, Florida |
| Authorized Official Name and Position | Jerry Ford (CEO) |
| Authorized Official Contact | 8028570400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Johns Menendez Po Box 5 Winooski VT 05404-0005 | St Johns Menendez 580 State Road 206 W Saint Augustine FL 32086-7968 Ph: (904) 671-8337 |
| NPI Number | 1245863232 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245863232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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