St Augustine Primary Care P L

LBN: St Augustine Primary Care P L
St Augustine Primary Care P L is an health care organization with primary practice located at 105 Mariner Health Way Ste 203 , St Augustine FL 32086-3251. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. St Augustine Primary Care P L can be contacted via phone (904) 342-2989, or through Raymaker, Brian David via phone (904) 342-2989.

Contact Information

Primary practice address
105 Mariner Health Way Ste 203 St Augustine FL 32086-3251
Phone: (904) 342-2989
Fax: (904) 824-6243
Website:
Map and Directions
Authorized official contact:
Name: Raymaker, Brian David Doctor of Medicine (MD)
Phone: (904) 342-2989

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40261 Florida

Profile Details

NPI number 1760654370
LBN Legal business name St Augustine Primary Care P L
DBA Doing business as
Authorized official Raymaker, Brian David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2008
Last updated Aug 5th, 2020 - about 5 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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