Organization
NEUROSURGICAL ASSOCIATES OF ST AUGUSTINE LLC
Active
Other names
MIGUEL A MACHADO MD
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL A MACHADO MD (OWNER)
(904) 819-4088
Entity
Organization
Contact information
Practice address
301 HEALTH PARK BLVD STE 101, ST AUGUSTINE, FL 32086-5794
(904) 819-4088
Mailing address
PO BOX 3185, ST AUGUSTINE, FL 32085-3185
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME47757
FL
Other
Enumeration date
03/11/2009
Last updated
08/05/2020
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