St Augustine Medical Clinic

LBN: Rez Inc
St Augustine Medical Clinic is an health care organization with primary practice located at 1301 Plantation Island Dr S Suite 402 B, St Augustine FL 32080-3108. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Rez Inc can be contacted via phone (904) 823-3777, or through Ashdji, Rezwan Rosa via phone (904) 823-3777.

Contact Information

Primary practice address
1301 Plantation Island Dr S Suite 402 B St Augustine FL 32080-3108
Phone: (904) 823-3777
Fax: (904) 823-3363
Website:
Map and Directions
Authorized official contact:
Name: Ashdji, Rezwan Rosa Doctor of Medicine (MD)
Phone: (904) 823-3777

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X ME0057416 Florida

Profile Details

NPI number 1457411373
LBN Legal business name Rez Inc
DBA Doing business as St Augustine Medical Clinic
Authorized official Ashdji, Rezwan Rosa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Apr 27th, 2015 - about 10 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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