# OBGYN ASSOCIATES OF ST AUGUSTINE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659337756
- **Authorized official:** SUSAN YARIAN MD (PRESIDENT)
- **Authorized official phone:** (904) 819-1500

## Contact information

- **Practice address:** 300 HEALTH PARK BLVD, STE 3002, ST AUGUSTINE, FL 32086
- **Practice address phone:** (904) 819-1500
- **Practice address fax:** (904) 810-1023
- **Mailing address:** 300 HEALTH PARK BLVD, STE 3002, ST AUGUSTINE, FL 32086
- **Mailing address phone:** (904) 819-1500
- **Mailing address fax:** (904) 810-1023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0066572 | FL | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 12/03/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 264245000 | — | FL |