Organization
SOUTHLAKE FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALGORZATA KALUZA MD (MEDICAL DIRECTOR)
(904) 827-0788
Entity
Organization
Contact information
Practice address
308 KINGSLEY LAKE DR STE 802, ST AUGUSTINE, FL 32092-3046
(904) 827-0788
Mailing address
308 KINGSLEY LAKE DR STE 802, ST AUGUSTINE, FL 32092-3046
(904) 827-0788
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME79394
FL
Other
Enumeration date
05/21/2007
Last updated
09/29/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us