# ST AUGUSTINE NEUROLOGY PA

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

## Provider details

- **NPI number:** 1871611749
- **Authorized official:** DR. JUEYANG WEI (PRESIDENT AND CEO)
- **Authorized official phone:** (904) 824-2201

## Contact information

- **Practice address:** 208 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
- **Practice address phone:** (904) 824-2201
- **Practice address fax:** (904) 824-2353
- **Mailing address:** 301 HEALTH PARK BLVD, SUITE 220, ST AUGUSTINE, FL 32086-5793
- **Mailing address phone:** (904) 824-2201
- **Mailing address fax:** (904) 824-2373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME97839 | FL | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 01/16/2025