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Organization
JAMES F CONNOR PA
Active
Organization
JAMES F CONNOR PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA CONCEPCION CONNOR RN (CREDRENTIALING)
(904) 824-8088
Entity
Organization
Contact information
Practice address
1851 OLD MOULTRIE RD, SUITE A, ST AUGUSTINE, FL 32084-4168
(904) 824-8088
(904) 826-4105
Mailing address
1851 OLD MOULTRIE RD, SUITE A, ST AUGUSTINE, FL 32084-4168
(904) 824-8088
(904) 826-4105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS5712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100699
AVMED
—
05
—
263119900
—
FL
01
—
4283452
AETNA
—
01
—
7080262005
CIGNA
—
Enumeration date
07/22/2006
Last updated
03/13/2020
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