Organization
ST AUGUSTINE ANESTHESIA PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELIN KENNEDY (DIRECTOR OF ANCILLARY SERVICES)
(904) 483-5869
Entity
Organization
Contact information
Practice address
212 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
(904) 730-1131
(904) 717-2015
Mailing address
PO BOX 100227, COLUMBIA, SC 29202-3208
(904) 730-1131
(904) 717-2015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
11/04/2020
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