SOUTHLAKE FAMILY PRACTICE PA

Clinic/Center - Primary Care

Active Organization
NPI: 1225247810

Practice Address

308 KINGSLEY LAKE DR STE 802
St Augustine, FL 32092

Phone: (904) 827-0788

Specialties

Specialty Code Primary License
Clinic/Center - Primary Care 261QP2300X Yes ME79394 (FL)

Frequently Asked Questions

NPI 1225247810 is the National Provider Identifier for SOUTHLAKE FAMILY PRACTICE PA, a Clinic/Center - Primary Care provider located in St Augustine, FL. This NPI was enumerated on May 21, 2007.

Quick Facts

NPI
1225247810
Type
Organization
Enumerated
May 21, 2007
Last Updated
Sep 29, 2011

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