Organization
FM MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ROBERT MICHAELS D.C. (OWNER)
(904) 823-8833
Entity
Organization
Contact information
Practice address
165 SOUTHPARK BLVD, SUITE C & D, ST AUGUSTINE, FL 32086-4101
(904) 823-8833
(904) 823-9394
Mailing address
165 SOUTHPARK BLVD, SUITE C & D, ST AUGUSTINE, FL 32086-4101
(904) 823-8833
(904) 823-9394
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
ME106486
FL
Other
Enumeration date
03/14/2013
Last updated
07/08/2013
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