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Organization
ST AUGUSTINE PHYSICIANS ASSOCIATES INC
Active
Organization
ST AUGUSTINE PHYSICIANS ASSOCIATES INC
Active
Other names
Monahan Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK MONAHAN D.C. (PRESIDENT)
(904) 824-8353
Entity
Organization
Contact information
Practice address
419 ANASTASIA BLVD, SAINT AUGUSTINE, FL 32080-4508
(904) 824-8353
(904) 824-5705
Mailing address
419 ANASTASIA BLVD, SAINT AUGUSTINE, FL 32080-4508
(904) 824-8353
(904) 824-5705
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2385
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050018600
—
FL
01
—
89830
BCBS ID
FL
Enumeration date
03/30/2007
Last updated
09/19/2013
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