# FIRST COAST ENDOCRINOLOGY, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIRST COAST ENDOCRINOLOGY, P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467722025
- **Legal business name:** FIRST COAST ENDOCRINOLOGY, P.A.
- **Authorized official:** MR. ROBERT ANDREW OESTERLE M.D. (OWNER)
- **Authorized official phone:** (904) 810-2425

## Contact information

- **Practice address:** 300 HEALTH PARK BLVD, SUITE 3008, ST AUGUSTINE, FL 32086-3707
- **Practice address phone:** (904) 810-2425
- **Practice address fax:** (904) 810-5321
- **Mailing address:** 300 HEALTH PARK BLVD, SUITE 3008, ST AUGUSTINE, FL 32086-3707
- **Mailing address phone:** (904) 810-2425
- **Mailing address fax:** (904) 810-5321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME0067870 | FL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME0067670 | FL | — |

## Other

- **Enumeration date:** 01/12/2012
- **Last updated:** 06/04/2012
