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Organization
FLAGLER HOSPITAL, INC.
Active
Organization
FLAGLER HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S GORDY (CEO/PRESIDENT)
(904) 819-4400
Entity
Organization
Contact information
Practice address
101 HEALTH PARK BLVD, SAINT AUGUSTINE, FL 32086-5777
(904) 819-5155
(904) 819-4906
Mailing address
400 HEALTH PARK BLVD, SAINT AUGUSTINE, FL 32086-5784
(904) 819-5155
(904) 819-4906
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
3665
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010171100
—
FL
Enumeration date
08/10/2015
Last updated
08/10/2015
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