Organization
EYE CENTER OF ST AUGUSTINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL W HUND III MD (PRESIDENT)
(904) 829-2286
Entity
Organization
Contact information
Practice address
1400 US HIGHWAY 1 S, ST AUGUSTINE, FL 32084-4211
(904) 829-2286
Mailing address
1400 US HIGHWAY 1 S, ST AUGUSTINE, FL 32084-4211
(904) 829-2286
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21339
BLUE SHIELD GROUP #
FL
Enumeration date
08/15/2005
Last updated
04/17/2013
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