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Organization
TOWNSEND CLINIC PA
Active
Organization
TOWNSEND CLINIC PA
Active
Parent organization
TOWNSEND CLINIC PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOWNSEND CLINIC PA
Authorized official
DR. GERALD EDWIN TOWNSEND JR. MD (PRESIDENT)
(904) 461-1901
Entity
Organization
Contact information
Practice address
4475 US HWY 1 SOUTH, SUITE 100, SAINT AUGUSTINE, FL 32086-7200
(904) 461-1901
(904) 461-1902
Mailing address
4475 US HIGHWAY 1 S, SUITE 100, SAINT AUGUSTINE, FL 32086-7284
(904) 461-1901
(904) 461-1902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0058357
FL
Other
Enumeration date
06/28/2007
Last updated
06/26/2008
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