Gastroenterology Associates Of St Augustine, Pa

LBN: Gastroenterology Associates Of St Augustine, Pa
Gastroenterology Associates Of St Augustine, Pa is an health care organization with primary practice located at 216 Southpark Cir E , St Augustine FL 32086-5135. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Gastroenterology Associates Of St Augustine, Pa can be contacted via phone (904) 824-6108, or through Rosado, Santiago A via phone (904) 824-6108.

Contact Information

Primary practice address
216 Southpark Cir E St Augustine FL 32086-5135
Fax: (904) 823-9613
Website:
Authorized official contact:
Name: Rosado, Santiago A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1871554634
LBN Legal business name Gastroenterology Associates Of St Augustine, Pa
DBA Doing business as
Authorized official Rosado, Santiago A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 26th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871554634 NPPES
Florida MEDICAID 056279300

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