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Individual

LINA FOUAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 NATURE WALK PKWY UNIT 107, ST AUGUSTINE, FL 32092-3065
(904) 800-7613
Mailing address
111 NATURE WALK PKWY UNIT 107, ST AUGUSTINE, FL 32092-3065

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MT198292
PA
207VG0400X
Gynecology Physician
Primary
ME120560
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003181653A
GA
Enumeration date
10/20/2010
Last updated
07/04/2025
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