Individual
DR. COURTNEY CADARIUS HUNTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 SOUTHPARK BLVD STE 208, ST AUGUSTINE, FL 32086-3129
(386) 425-4165
(386) 425-7545
Mailing address
200 SOUTHPARK BLVD STE 208, ST AUGUSTINE, FL 32086-3129
(904) 295-3682
(904) 295-3688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME147663
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
ME147663
FL
Other
Enumeration date
06/25/2019
Last updated
08/08/2023
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