# TOWNSEND CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TOWNSEND CLINIC PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720285125
- **Legal business name:** TOWNSEND CLINIC PA
- **Authorized official:** DR. GERALD EDWIN TOWNSEND JR. MD (PRESIDENT)
- **Authorized official phone:** (904) 461-1901

## Contact information

- **Practice address:** 4475 US HWY 1 SOUTH, SUITE 100, SAINT AUGUSTINE, FL 32086-7200
- **Practice address phone:** (904) 461-1901
- **Practice address fax:** (904) 461-1902
- **Mailing address:** 4475 US HIGHWAY 1 S, SUITE 100, SAINT AUGUSTINE, FL 32086-7284
- **Mailing address phone:** (904) 461-1901
- **Mailing address fax:** (904) 461-1902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME0058357 | FL | Yes |

## Other

- **Enumeration date:** 06/28/2007
- **Last updated:** 06/26/2008