# FIRST COAST OBSTETRICS AND GYNECOLOGY PA

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

## Provider details

- **NPI number:** 1710286067
- **Authorized official:** DR. LUCIEN - MAXIMIN YANOU TCHUISSE M.D. (PRESIDENT)
- **Authorized official phone:** (386) 325-5699

## Contact information

- **Practice address:** 6100 SAINT JOHNS AVE, SUITE 6, PALATKA, FL 32177
- **Practice address phone:** (386) 325-5699
- **Mailing address:** 6100 SAINT JOHNS AVE STE 6, PALATKA, FL 32177-6859
- **Mailing address phone:** (386) 325-5699
- **Mailing address fax:** (386) 325-5644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | FL | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/24/2011
- **Last updated:** 09/21/2018