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Organization
OBGYN ASSOCIATES OF ST AUGUSTINE PA
Active
Organization
OBGYN ASSOCIATES OF ST AUGUSTINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN YARIAN MD (PRESIDENT)
(904) 819-1500
Entity
Organization
Contact information
Practice address
300 HEALTH PARK BLVD, STE 3002, ST AUGUSTINE, FL 32086
(904) 819-1500
(904) 810-1023
Mailing address
300 HEALTH PARK BLVD, STE 3002, ST AUGUSTINE, FL 32086
(904) 819-1500
(904) 810-1023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0066572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264245000
—
FL
Enumeration date
04/26/2006
Last updated
12/03/2007
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